JAN J MEZYK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

First Name

JAN J

Last Name

MEZYK

Suffix

Business Name

JAN J MEZYK MD

Original Issue Date

09/22/1982

Effective Date

06/05/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017