SEBASTIAN KLISIEWICZ DO 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

Title

First Name

SEBASTIAN

Last Name

KLISIEWICZ

Business Name

SEBASTIAN KLISIEWICZ DO

Original Issue Date

07/09/2012

Effective Date

07/09/2012

Expiration Date

07/31/2014

City

WESTCHESTER

State

Zip

60154

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014