LESZEK T MIODUSZEWSKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

First Name

LESZEK T

Last Name

MIODUSZEWSKI

Suffix

Business Name

LESZEK T MIODUSZEWSKI MD

Original Issue Date

08/26/1987

Effective Date

08/26/1987

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006