NICHOLAS S KOWALCZYK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

ACTIVE

Business

Title

First Name

NICHOLAS

Middle

Last Name

KOWALCZYK

Business Name

NICHOLAS S KOWALCZYK MD

Original Issue Date

04/20/2023

Effective Date

04/20/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/20/2023