TOMASZ TADEUSZ ANTKOWIAK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

ACTIVE

Business

Title

First Name

TOMASZ

Middle

TADEUSZ

Last Name

ANTKOWIAK

Business Name

TOMASZ TADEUSZ ANTKOWIAK MD

Original Issue Date

08/25/2021

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/19/2023