KRZYSZTOF B SIEMIONOW MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

ACTIVE

Business

First Name

KRZYSZTOF

Middle

Last Name

SIEMIONOW

Suffix

Business Name

KRZYSZTOF B SIEMIONOW MD

Original Issue Date

04/23/2009

Effective Date

08/31/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/31/2023