ALEX CICHOMSKA HERSKOVIC MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

ACTIVE

Business

First Name

ALEX

Middle

CICHOMSKA

Last Name

HERSKOVIC

Suffix

Business Name

ALEX CICHOMSKA HERSKOVIC MD

Original Issue Date

07/12/2017

Effective Date

04/14/2023

Expiration Date

07/31/2026

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/14/2023