DAVID MICHAEL JANICZEK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

ACTIVE

Business

Title

First Name

DAVID

Middle

MICHAEL

Last Name

JANICZEK

Business Name

DAVID MICHAEL JANICZEK MD

Original Issue Date

05/14/2020

Effective Date

07/12/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/12/2023