MARIA JACKLIN JANECEK DO 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

MARIA

Middle

JACKLIN

Last Name

JANECEK

Suffix

Business Name

MARIA JACKLIN JANECEK DO

Original Issue Date

11/16/2000

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/19/2023