JUSTIN DAVID KRIEZELMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

ACTIVE

Business

First Name

JUSTIN

Middle

DAVID

Last Name

KRIEZELMAN

Suffix

Business Name

JUSTIN DAVID KRIEZELMAN MD

Original Issue Date

05/23/2008

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60654

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/10/2023