EMILY KATHLEEN WILCZAK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

ACTIVE

Business

Title

First Name

EMILY

Middle

KATHLEEN

Last Name

WILCZAK

Business Name

EMILY KATHLEEN WILCZAK MD

Original Issue Date

12/22/2014

Effective Date

07/01/2023

Expiration Date

07/31/2026

City

ROCKTON

State

Zip

61072

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/01/2023