SLAWOMIR JAN PUSZKARSKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

NOT RENEWED

Business

First Name

SLAWOMIR

Middle

JAN

Last Name

PUSZKARSKI

Suffix

Business Name

SLAWOMIR JAN PUSZKARSKI MD

Original Issue Date

05/28/1997

Effective Date

05/28/1997

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020