GREGORY D KACZMAREK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

ACTIVE

Business

First Name

GREGORY D

Last Name

KACZMAREK

Suffix

Business Name

GREGORY D KACZMAREK MD

Original Issue Date

03/19/1991

Effective Date

06/27/2023

Expiration Date

07/31/2026

City

SKOKIE

State

Zip

60076

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/27/2023