PAUL GERARD WASIELEWSKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

Title

First Name

PAUL

Middle

GERARD

Last Name

WASIELEWSKI

Business Name

PAUL GERARD WASIELEWSKI MD

Original Issue Date

04/22/2016

Effective Date

04/22/2016

Expiration Date

07/31/2017

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017