JACQUELINE M DZIEDZIC 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

JACQUELINE

Middle

Last Name

DZIEDZIC

Suffix

Business Name

JACQUELINE M DZIEDZIC DO

Original Issue Date

04/11/2012

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023