JOANNA M NIEMIEC Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

ACTIVE

Business

First Name

JOANNA

Middle

Last Name

NIEMIEC

Business Name

JOANNA M NIEMIEC

Original Issue Date

05/12/2006

Effective Date

05/11/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/11/2023