JACEK HENRYK PIETA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

ACTIVE

Business

First Name

JACEK HENRYK

Last Name

PIETA

Suffix

Business Name

JACEK HENRYK PIETA MD

Original Issue Date

01/26/1999

Effective Date

04/22/2023

Expiration Date

07/31/2026

City

LOMBARD

State

Zip

60148

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/22/2023