MAREK KAZIMIERZ KRYSZTOFIAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

NOT RENEWED

Business

First Name

MAREK

Middle

KAZIMIERZ

Last Name

KRYSZTOFIAK

Suffix

Business Name

MAREK KAZIMIERZ KRYSZTOFIAK MD

Original Issue Date

08/03/2010

Effective Date

06/14/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60607

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014