PIOTR T DYK 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

PIOTR T

Last Name

DYK

Suffix

Business Name

PIOTR T DYK MD

Original Issue Date

06/16/1992

Effective Date

06/16/1992

Expiration Date

07/31/1996

City

EAST ALTON

State

Zip

62024

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006