EWELINA IWONA JURCZYK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

NOT RENEWED

Business

Title

First Name

EWELINA

Middle

IWONA

Last Name

JURCZYK

Business Name

EWELINA IWONA JURCZYK MD

Original Issue Date

07/29/2009

Effective Date

08/01/2011

Expiration Date

07/31/2014

City

NILES

State

Zip

60714

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014