JAN NAMYSLOWSKI 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

First Name

JAN

Last Name

NAMYSLOWSKI

Suffix

Business Name

JAN NAMYSLOWSKI MD

Original Issue Date

01/27/2006

Effective Date

05/03/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61603

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/03/2023