AGNIESZKA MARIA MANIAK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

ACTIVE

Business

Title

First Name

AGNIESZKA

Middle

MARIA

Last Name

MANIAK

Business Name

AGNIESZKA MARIA MANIAK MD

Original Issue Date

05/07/2021

Effective Date

06/24/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/24/2023