TOMASZ ANDRZEJ SZERSZOW Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

ACTIVE

Business

First Name

TOMASZ

Middle

ANDRZEJ

Last Name

SZERSZOW

Business Name

TOMASZ ANDRZEJ SZERSZOW

Original Issue Date

06/24/2002

Effective Date

05/28/2023

Expiration Date

07/31/2026

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/28/2023