AGNIESZKA ANNA ARDELT Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

NOT RENEWED

Business

First Name

AGNIESZKA

Middle

ANNA

Last Name

ARDELT

Business Name

AGNIESZKA ANNA ARDELT

Original Issue Date

02/25/2009

Effective Date

06/23/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60601

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023