CAROL OLMSTEAD MIECZNIKOWSKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

Business

First Name

CAROL OLMSTEAD

Last Name

MIECZNIKOWSKI

Suffix

Business Name

CAROL OLMSTEAD MIECZNIKOWSKI MD

Original Issue Date

12/31/1992

Effective Date

07/14/2011

Expiration Date

07/31/2014

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014