RAYMOND MARK MACIEJEWSKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

NOT RENEWED

Business

First Name

RAYMOND MARK

Last Name

MACIEJEWSKI

Suffix

Business Name

RAYMOND MARK MACIEJEWSKI MD

Original Issue Date

09/15/1981

Effective Date

09/15/1981

Expiration Date

07/31/2005

City

DANVILLE

State

Zip

61832

County

VERMILION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006