JAN NAMYSLOWSKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

NOT RENEWED

Business

First Name

JAN

Last Name

NAMYSLOWSKI

Suffix

Business Name

JAN NAMYSLOWSKI MD

Original Issue Date

01/27/2006

Effective Date

07/28/2011

Expiration Date

07/31/2014

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020