PHILIP SEBASTIAN MACIUKIEWICZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

ACTIVE

Business

Title

First Name

PHILIP

Middle

SEBASTIAN

Last Name

MACIUKIEWICZ

Business Name

PHILIP SEBASTIAN MACIUKIEWICZ MD

Original Issue Date

04/15/2023

Effective Date

04/15/2023

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/15/2023