GRZEGORZ MARCIN PIETRASIK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

GRZEGORZ

Middle

MARCIN

Last Name

PIETRASIK

Suffix

Business Name

GRZEGORZ MARCIN PIETRASIK MD

Original Issue Date

10/21/2008

Effective Date

06/01/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020