MONIKA AGATA SIEDLARZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

ACTIVE

Business

Title

First Name

MONIKA

Middle

AGATA

Last Name

SIEDLARZ

Business Name

MONIKA AGATA SIEDLARZ MD

Original Issue Date

03/05/2020

Effective Date

07/31/2023

Expiration Date

07/31/2026

City

LOCKPORT

State

Zip

60441

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/31/2023