MICHAL CEZARY SZCZUPAK Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

ACTIVE

Business

First Name

MICHAL

Middle

CEZARY

Last Name

SZCZUPAK

Business Name

MICHAL CEZARY SZCZUPAK

Original Issue Date

09/18/2002

Effective Date

07/28/2023

Expiration Date

07/31/2026

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/28/2023