JOHN ANTHONY PAKIELA DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

NOT RENEWED

Business

Title

First Name

JOHN

Middle

ANTHONY

Last Name

PAKIELA

Business Name

JOHN ANTHONY PAKIELA DO

Original Issue Date

06/30/2015

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021