MICHAEL L RADZIENDA 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

MICHAEL

Middle

Last Name

RADZIENDA

Business Name

MICHAEL L RADZIENDA MD

Original Issue Date

09/03/2013

Effective Date

04/15/2023

Expiration Date

07/31/2026

City

NORTHBROOK

State

Zip

60062

County

KANKAKEE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/15/2023