WIESLAW J PODLASEK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

ACTIVE

Business

First Name

WIESLAW J

Last Name

PODLASEK

Suffix

Business Name

WIESLAW J PODLASEK MD

Original Issue Date

09/16/1992

Effective Date

07/12/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/12/2023