DOROTA WALKIEWICZ JEDRZEJCZAK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

ACTIVE

Business

Title

First Name

DOROTA

Last Name

WALKIEWICZ JEDRZEJCZAK

Business Name

DOROTA WALKIEWICZ JEDRZEJCZAK MD

Original Issue Date

01/29/2019

Effective Date

08/26/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/26/2023