PIOTR Z IMIOLEK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

NOT RENEWED

Business

First Name

PIOTR

Middle

Last Name

IMIOLEK

Suffix

Business Name

PIOTR Z IMIOLEK MD

Original Issue Date

08/24/1999

Effective Date

08/24/1999

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006