JACLYN BETH WIERZBICKI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057952

License Status

EXPIRED

Business

Title

First Name

JACLYN

Middle

BETH

Last Name

WIERZBICKI

Business Name

JACLYN BETH WIERZBICKI MD

Original Issue Date

06/26/2013

Effective Date

06/26/2013

Expiration Date

06/25/2016

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

08/16/2016