MICHAEL L RADZIENDA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

CANCELLED

Business

Title

First Name

MICHAEL

Middle

Last Name

RADZIENDA

Business Name

MICHAEL L RADZIENDA MD

Original Issue Date

06/27/1997

Effective Date

06/27/1997

Expiration Date

07/31/2005

City

NORTHBROOK

State

Zip

60062

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020