DANIEL JACK SUDRZYNSKI DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

ACTIVE

Business

Title

First Name

DANIEL

Middle

JACK

Last Name

SUDRZYNSKI

Business Name

DANIEL JACK SUDRZYNSKI DO

Original Issue Date

01/06/2025

Effective Date

01/06/2025

Expiration Date

07/31/2026

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/06/2025