ANDRZEJ M JASEK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

ACTIVE

Business

First Name

ANDRZEJ M

Last Name

JASEK

Suffix

Business Name

ANDRZEJ M JASEK MD

Original Issue Date

06/14/1996

Effective Date

04/27/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/27/2023