JEFFREY MICHAEL KSIAZEK 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

Title

First Name

JEFFREY

Middle

MICHAEL

Last Name

KSIAZEK

Business Name

JEFFREY MICHAEL KSIAZEK MD

Original Issue Date

06/04/2013

Effective Date

06/15/2023

Expiration Date

07/31/2026

City

SCHAUMBURG

State

Zip

60173

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/15/2023