DANIEL S KOSCIELSKI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

ACTIVE

Business

First Name

DANIEL

Middle

Last Name

KOSCIELSKI

Suffix

Business Name

DANIEL S KOSCIELSKI MD

Original Issue Date

06/16/2005

Effective Date

06/29/2023

Expiration Date

07/31/2026

City

HARVEY

State

Zip

60426

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/29/2023