RAFAL G CIECIERSKI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

CANCELLED

Business

First Name

RAFAL

Middle

Last Name

CIECIERSKI

Suffix

Business Name

RAFAL G CIECIERSKI MD

Original Issue Date

04/13/2009

Effective Date

04/13/2009

Expiration Date

07/31/2011

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020