JAN Z CIEJKA MD - Medical Doctor License in Wisconsin | # 33*****97

JAN Z CIEJKA MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

N

First Name

JAN Z

Last Name

CIEJKA

Suffix

MD

Business Name

JAN Z CIEJKA MD

Original Issue Date

07/25/1997

Effective Date

07/25/1997

Expiration Date

07/31/2002

State

WI

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

10/09/2006