MICHAEL WALTER KACZMARSKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

WALTER

Last Name

KACZMARSKI

Business Name

MICHAEL WALTER KACZMARSKI MD

Original Issue Date

06/06/2017

Effective Date

06/06/2017

Expiration Date

09/30/2020

City

HOFFMAN ESTATES

State

Zip

60169

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021