GREGORY SKLADZIEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

NOT RENEWED

Business

First Name

GREGORY

Last Name

SKLADZIEN

Suffix

Business Name

GREGORY SKLADZIEN MD

Original Issue Date

01/01/1997

Effective Date

05/14/2014

Expiration Date

07/31/2017

City

KILDEER

State

Zip

60047

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020