MARIUSZ ROGALSKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

NOT RENEWED

Business

First Name

MARIUSZ

Last Name

ROGALSKI

Suffix

Business Name

MARIUSZ ROGALSKI MD

Original Issue Date

05/19/2003

Effective Date

08/24/2021

Expiration Date

07/31/2023

City

MT. CARAMEL

State

Zip

62863

County

KENDALL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023