PATRICK ANDREW WLOSZCZYNSKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

NOT RENEWED

Business

Title

First Name

PATRICK

Middle

ANDREW

Last Name

WLOSZCZYNSKI

Business Name

PATRICK ANDREW WLOSZCZYNSKI MD

Original Issue Date

06/04/2021

Effective Date

06/04/2021

Expiration Date

07/31/2023

City

DANVILLE

State

Zip

61832

County

VERMILION

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023