LUCJAN ANTONI MOSCICKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

First Name

LUCJAN ANTONI

Last Name

MOSCICKI

Suffix

Business Name

LUCJAN ANTONI MOSCICKI MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1996

City

FAIRBURY

State

Zip

61739

County

LIVINGSTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006