ANNA L KIERNICKI SKLAR Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

ACTIVE

Business

First Name

ANNA

Middle

Last Name

KIERNICKI SKLAR

Business Name

ANNA L KIERNICKI SKLAR

Original Issue Date

03/30/2004

Effective Date

05/18/2023

Expiration Date

07/31/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/18/2023