JOSEPH ANTHONY KMIECIK 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

First Name

JOSEPH

Middle

ANTHONY

Last Name

KMIECIK

Suffix

Business Name

JOSEPH ANTHONY KMIECIK MD

Original Issue Date

06/07/2004

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

AURORA

State

Zip

60506

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023