MICHAEL THOMAS MARYNOWSKI DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

THOMAS

Last Name

MARYNOWSKI

Business Name

MICHAEL THOMAS MARYNOWSKI DO

Original Issue Date

04/17/2012

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/06/2023