WLODZIMIERZ M WISNIEWSKI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

ACTIVE

Business

First Name

WLODZIMIERZ

Middle

Last Name

WISNIEWSKI

Suffix

Business Name

WLODZIMIERZ M WISNIEWSKI MD

Original Issue Date

02/17/2000

Effective Date

05/10/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/10/2023