ROBERT A KOLODZIEJCZYK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

Last Name

KOLODZIEJCZYK

Suffix

Business Name

ROBERT A KOLODZIEJCZYK MD

Original Issue Date

03/30/1999

Effective Date

10/01/2012

Expiration Date

07/31/2014

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017