TIMOTHY RAYMOND NIEDZIELAK DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036165587

License Status

ACTIVE

Business

Title

First Name

TIMOTHY

Middle

RAYMOND

Last Name

NIEDZIELAK

Business Name

TIMOTHY RAYMOND NIEDZIELAK DO

Original Issue Date

06/29/2023

Effective Date

06/29/2023

Expiration Date

07/31/2026

City

BELVIDERE

State

Zip

61008

Ever Disciplined

LastModifiedDate

03/09/2026