PHILIP G JANICAK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

ACTIVE

Business

First Name

PHILIP G

Last Name

JANICAK

Suffix

Business Name

PHILIP G JANICAK MD

Original Issue Date

01/01/1997

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

RIVERSIDE

State

Zip

60546

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023