ELIZABETH S PODCZERWINSKI-DIAZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

ACTIVE

Business

Title

First Name

ELIZABETH

Middle

Last Name

PODCZERWINSKI-DIAZ

Business Name

ELIZABETH S PODCZERWINSKI-DIAZ MD

Original Issue Date

07/06/2015

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

AUGUSTA

State

Zip

30904

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/19/2023