JOANNA LUCJA KMIECIK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

ACTIVE

Business

Title

First Name

JOANNA

Middle

LUCJA

Last Name

KMIECIK

Business Name

JOANNA LUCJA KMIECIK MD

Original Issue Date

08/16/2012

Effective Date

07/05/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60641

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/05/2023