AGNIESZKA K BIALIKIEWICZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

First Name

AGNIESZKA

Middle

Last Name

BIALIKIEWICZ

Suffix

Business Name

AGNIESZKA K BIALIKIEWICZ MD

Original Issue Date

08/31/2007

Effective Date

08/31/2007

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60661

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008