JUSTYNA ANTCZAK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

ACTIVE

Business

Title

First Name

JUSTYNA

Last Name

ANTCZAK

Business Name

JUSTYNA ANTCZAK MD

Original Issue Date

06/03/2020

Effective Date

04/26/2023

Expiration Date

07/31/2026

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Specialty/Qualifier

PHARM DISTRIBUTOR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/26/2023