ALEXANDER W KMICIKEWYCZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

ACTIVE

Business

First Name

ALEXANDER W

Last Name

KMICIKEWYCZ

Suffix

Business Name

ALEXANDER W KMICIKEWYCZ MD

Original Issue Date

04/20/1983

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023