KATARZYNA MARIA KRZYCKA Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****84

License Status

INOPERATIVE

Business

First Name

KATARZYNA

Middle

MARIA

Last Name

KRZYCKA

Business Name

KATARZYNA MARIA KRZYCKA

Original Issue Date

10/10/2018

Effective Date

01/14/2020

Expiration Date

03/01/2022

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

01/03/2022