ELIZABETH TERESA WIECKIEWICZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

NOT RENEWED

Business

First Name

ELIZABETH TERESA

Last Name

WIECKIEWICZ

Suffix

Business Name

ELIZABETH TERESA WIECKIEWICZ MD

Original Issue Date

12/13/1982

Effective Date

07/02/2020

Expiration Date

07/31/2023

City

NORTHFIELD

State

Zip

60093

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

11/30/2023