MEGAN ELIZABETH MIETELSKI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

ACTIVE

Business

Title

First Name

MEGAN

Middle

ELIZABETH

Last Name

MIETELSKI

Business Name

MEGAN ELIZABETH MIETELSKI MD

Original Issue Date

01/05/2017

Effective Date

04/23/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60540

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/23/2023