KRYSTOF J GODLEWSKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

NOT RENEWED

Business

First Name

KRYSTOF J

Last Name

GODLEWSKI

Suffix

Business Name

KRYSTOF J GODLEWSKI MD

Original Issue Date

10/28/1992

Effective Date

10/28/1992

Expiration Date

07/31/1996

City

PITTSFIELD

State

Zip

62363

County

PIKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006