BARBARA ELZBIETA POTACZEK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

ACTIVE

Business

First Name

BARBARA

Middle

ELZBIETA

Last Name

POTACZEK

Suffix

Business Name

BARBARA ELZBIETA POTACZEK MD

Original Issue Date

09/01/2005

Effective Date

07/14/2023

Expiration Date

07/31/2026

City

ELMHURST

State

Zip

60126

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/14/2023