MARIKA INGA WRZOSEK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

Title

First Name

MARIKA

Middle

INGA

Last Name

WRZOSEK

Business Name

MARIKA INGA WRZOSEK MD

Original Issue Date

06/24/2011

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

MOUNT PROSPECT

State

Zip

60056

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021