DAVID J MIKOLAJCZAK DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

ACTIVE

Business

First Name

DAVID J

Last Name

MIKOLAJCZAK

Suffix

Business Name

DAVID J MIKOLAJCZAK DO

Original Issue Date

08/14/2009

Effective Date

05/10/2023

Expiration Date

07/31/2026

City

HOMER GLEN

State

Zip

60491

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/10/2023