GRZEGORZ MARCIN PIETRASIK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

ACTIVE

Business

First Name

GRZEGORZ

Middle

MARCIN

Last Name

PIETRASIK

Suffix

Business Name

GRZEGORZ MARCIN PIETRASIK MD

Original Issue Date

05/10/2019

Effective Date

05/18/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/18/2023