RICHARD T CZERNIEJEWSKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

First Name

RICHARD T

Last Name

CZERNIEJEWSKI

Suffix

Business Name

RICHARD T CZERNIEJEWSKI MD

Original Issue Date

07/14/1987

Effective Date

04/23/2014

Expiration Date

07/31/2017

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020