ANTHONY A NIEZYNIECKI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

ACTIVE

Business

First Name

ANTHONY

Middle

Last Name

NIEZYNIECKI

Suffix

Business Name

ANTHONY A NIEZYNIECKI MD

Original Issue Date

07/17/1997

Effective Date

07/04/2023

Expiration Date

07/31/2026

City

SKOKIE

State

Zip

60077

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/04/2023