STEVEN M MARDJETKO 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

STEVEN M

Last Name

MARDJETKO

Suffix

Business Name

STEVEN M MARDJETKO MD

Original Issue Date

03/19/2018

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

HIGHLAND PARK

State

Zip

60035

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/18/2023