JOHN J PIENIAZEK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

ACTIVE

Business

First Name

JOHN

Middle

Last Name

PIENIAZEK

Suffix

Business Name

JOHN J PIENIAZEK MD

Original Issue Date

05/25/2004

Effective Date

07/14/2023

Expiration Date

07/31/2026

City

EUREKA

State

Zip

61530

County

WOODFORD

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/14/2023