JOANNA M NIEMIEC Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110673

License Status

ACTIVE

Business

First Name

JOANNA

Middle

Last Name

NIEMIEC

Business Name

JOANNA M NIEMIEC

Original Issue Date

01/09/2004

Effective Date

05/11/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/11/2023