Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****89

NOT RENEWED

N

SLAWOMIR

JAN

PUSZKARSKI

MD

SLAWOMIR JAN PUSZKARSKI MD

07/23/1998

07/23/1998

07/31/2005

PARK RIDGE

IL

60068

COOK

II III IV V

N

04/05/2020