ANTHONY J PIASECKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

First Name

ANTHONY J

Last Name

PIASECKI

Suffix

Business Name

ANTHONY J PIASECKI MD

Original Issue Date

01/30/1989

Effective Date

01/30/1989

Expiration Date

07/31/1996

City

GALENA

State

Zip

61036

County

JO DAVIESS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006