CHRISTOPHER M BIENIEK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

First Name

CHRISTOPHER

Middle

Last Name

BIENIEK

Suffix

Business Name

CHRISTOPHER M BIENIEK MD

Original Issue Date

05/03/1999

Effective Date

06/22/2017

Expiration Date

09/30/2020

City

QUINCY

State

Zip

62301

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021