STEFAN PARKER CZESTOCHOWSKI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

ACTIVE

Business

Title

First Name

STEFAN

Middle

PARKER

Last Name

CZESTOCHOWSKI

Business Name

STEFAN PARKER CZESTOCHOWSKI MD

Original Issue Date

05/14/2019

Effective Date

05/04/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/04/2023