ROMAN JOHN DACZKEWYCZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

First Name

ROMAN JOHN

Last Name

DACZKEWYCZ

Suffix

Business Name

ROMAN JOHN DACZKEWYCZ MD

Original Issue Date

01/01/1997

Effective Date

06/14/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60631

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017