LARRY KENNETH KOCIOLEK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

ACTIVE

Business

First Name

LARRY

Middle

KENNETH

Last Name

KOCIOLEK

Suffix

Business Name

LARRY KENNETH KOCIOLEK MD

Original Issue Date

06/22/2009

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2023