DOBROSLAWA BLANKA MACHNICA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

ACTIVE

Business

First Name

DOBROSLAWA

Middle

BLANKA

Last Name

MACHNICA

Business Name

DOBROSLAWA BLANKA MACHNICA

Original Issue Date

05/08/1997

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023