EDWARD T MARCOSKI JR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

CANCELLED

Business

Title

First Name

EDWARD T

Last Name

MARCOSKI

Suffix

Business Name

EDWARD T MARCOSKI JR MD

Original Issue Date

07/24/1984

Effective Date

04/28/2014

Expiration Date

07/31/2017

City

HINSDALE

State

Zip

60521

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020