TOMASZ TADEUSZ ANTKOWIAK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

ACTIVE

Business

Title

First Name

TOMASZ

Middle

TADEUSZ

Last Name

ANTKOWIAK

Business Name

TOMASZ TADEUSZ ANTKOWIAK MD

Original Issue Date

05/23/2013

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

FRANKFORT

State

Zip

60423

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/19/2023