BRIAN EDMUND WALCZAK DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

ACTIVE

Business

Title

First Name

BRIAN

Middle

EDMUND

Last Name

WALCZAK

Business Name

BRIAN EDMUND WALCZAK DO

Original Issue Date

12/01/2022

Effective Date

05/05/2023

Expiration Date

07/31/2026

City

AURORA

State

Zip

60504

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/05/2023