THOMAS MICHAEL KAZMIERCZAK JR DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

ACTIVE

Business

First Name

THOMAS

Middle

MICHAEL

Last Name

KAZMIERCZAK

Suffix

JR DO

Business Name

THOMAS MICHAEL KAZMIERCZAK JR DO

Original Issue Date

10/03/2002

Effective Date

04/27/2023

Expiration Date

07/31/2026

City

MORRIS

State

Zip

60450

County

GRUNDY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/27/2023