MICHAEL L WASZAK Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

First Name

MICHAEL L

Last Name

WASZAK

Business Name

MICHAEL L WASZAK

Original Issue Date

08/25/1986

Effective Date

07/29/2020

Expiration Date

07/31/2023

City

JOLIET

State

Zip

60435

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023