JACQUELINE WILNEFF PONCZEK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

ACTIVE

Business

Title

First Name

JACQUELINE

Middle

WILNEFF

Last Name

PONCZEK

Business Name

JACQUELINE WILNEFF PONCZEK MD

Original Issue Date

04/10/2019

Effective Date

05/06/2023

Expiration Date

07/31/2026

City

SKOKIE

State

Zip

60076

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/06/2023