THADDEUS C ROGOZINSKI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

ACTIVE

Business

First Name

THADDEUS C

Last Name

ROGOZINSKI

Suffix

Business Name

THADDEUS C ROGOZINSKI MD

Original Issue Date

09/06/1990

Effective Date

07/07/2023

Expiration Date

07/31/2026

City

MORRIS

State

Zip

60450

County

GRUNDY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/07/2023