TIMOTHY PAUL KRESOWIK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

ACTIVE

Business

Title

First Name

TIMOTHY

Middle

PAUL

Last Name

KRESOWIK

Business Name

TIMOTHY PAUL KRESOWIK MD

Original Issue Date

01/20/2012

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/22/2023