SLAWOMIR JAN PUSZKARSKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

First Name

SLAWOMIR

Middle

JAN

Last Name

PUSZKARSKI

Suffix

Business Name

SLAWOMIR JAN PUSZKARSKI MD

Original Issue Date

07/23/1998

Effective Date

07/23/1998

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60641

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

04/05/2020