PATRICK BURANICZ DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075084

License Status

CANCELLED

Business

Title

First Name

PATRICK

Last Name

BURANICZ

Business Name

PATRICK BURANICZ DO

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

06/10/2025

Case Number

2022002754

Action

Reprimand

Discipline Start Date

06/06/2025