MICHAEL J IWANICKI DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105399

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

Last Name

IWANICKI

Suffix

Business Name

MICHAEL J IWANICKI DO

Original Issue Date

08/10/2001

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/19/2023