BOGUSLAW BONCZAK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

ACTIVE

Business

Title

First Name

BOGUSLAW

Last Name

BONCZAK

Business Name

BOGUSLAW BONCZAK MD

Original Issue Date

09/11/2009

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

LAKE ZURICH

State

Zip

60047

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023