GREGORY STANLEY PODOLEJ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

ACTIVE

Business

Title

First Name

GREGORY

Middle

STANLEY

Last Name

PODOLEJ

Business Name

GREGORY STANLEY PODOLEJ MD

Original Issue Date

05/25/2016

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2023