MACIEJ P CHLEBICKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

First Name

MACIEJ

Middle

Last Name

CHLEBICKI

Suffix

Business Name

MACIEJ P CHLEBICKI MD

Original Issue Date

08/17/1998

Effective Date

08/17/1998

Expiration Date

07/31/1999

City

EVANSTON

State

Zip

60202

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006