JACQUELINE M DZIEDZIC DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127802

License Status

ACTIVE

Business

First Name

JACQUELINE

Middle

Last Name

DZIEDZIC

Suffix

Business Name

JACQUELINE M DZIEDZIC DO

Original Issue Date

05/05/2011

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

ARLINGTON HEIGHTS

State

Zip

60005

Ever Disciplined

LastModifiedDate

04/13/2023