STEPHEN M LUCZYCKI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

NOT RENEWED

Business

First Name

STEPHEN

Middle

Last Name

LUCZYCKI

Business Name

STEPHEN M LUCZYCKI

Original Issue Date

08/31/2000

Effective Date

07/28/2011

Expiration Date

07/31/2014

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014