MARYLEE A BRANIECKI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

ACTIVE

Business

First Name

MARYLEE A

Last Name

BRANIECKI

Suffix

Business Name

MARYLEE A BRANIECKI MD

Original Issue Date

09/22/1992

Effective Date

05/20/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/20/2023