MYLES JULIAN LUSZCZYK DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

ACTIVE

Business

Title

First Name

MYLES

Middle

JULIAN

Last Name

LUSZCZYK

Business Name

MYLES JULIAN LUSZCZYK DO

Original Issue Date

05/31/2011

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2023