BRIAN EDMUND WALCZAK DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036163012

License Status

ACTIVE

Business

Title

First Name

BRIAN

Middle

EDMUND

Last Name

WALCZAK

Business Name

BRIAN EDMUND WALCZAK DO

Original Issue Date

11/28/2022

Effective Date

05/05/2023

Expiration Date

07/31/2026

City

AURORA

State

Zip

60504

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/05/2023