REGINA B BIELKUS 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

REGINA B

Last Name

BIELKUS

Suffix

Business Name

REGINA B BIELKUS MD

Original Issue Date

10/19/1983

Effective Date

06/05/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/05/2023