MATTHEW JUSTIN NIEDZWIECKI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130526

License Status

ACTIVE

Business

Title

First Name

MATTHEW

Middle

JUSTIN

Last Name

NIEDZWIECKI

Business Name

MATTHEW JUSTIN NIEDZWIECKI MD

Original Issue Date

06/08/2012

Effective Date

06/01/2023

Expiration Date

07/31/2026

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

02/28/2025