JONATHAN C MAKIELSKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

NOT RENEWED

Business

First Name

JONATHAN C

Last Name

MAKIELSKI

Suffix

Business Name

JONATHAN C MAKIELSKI MD

Original Issue Date

07/26/1982

Effective Date

07/26/1982

Expiration Date

07/31/1996

City

EVERGREEN PARK

State

Zip

60642

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006