KIMBERLY ROSE KRUCZEK DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

ACTIVE

Business

Title

First Name

KIMBERLY

Middle

ROSE

Last Name

KRUCZEK

Business Name

KIMBERLY ROSE KRUCZEK DO

Original Issue Date

11/21/2012

Effective Date

05/02/2023

Expiration Date

07/31/2026

City

HARVEY

State

Zip

60426

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2023