JEFFREY DANIEL RADAWSKI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

ACTIVE

Business

Title

First Name

JEFFREY

Middle

DANIEL

Last Name

RADAWSKI

Business Name

JEFFREY DANIEL RADAWSKI MD

Original Issue Date

02/23/2024

Effective Date

02/23/2024

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/23/2024