MARIA JOLANTA NICEWICZ 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

MARIA

Middle

JOLANTA

Last Name

NICEWICZ

Suffix

Business Name

MARIA JOLANTA NICEWICZ MD

Original Issue Date

04/17/2007

Effective Date

06/27/2023

Expiration Date

07/31/2026

City

WESTCHESTER

State

Zip

60154

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/27/2023