JUSTIN DAVID KRIEZELMAN MD 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

JUSTIN

Middle

DAVID

Last Name

KRIEZELMAN

Suffix

Business Name

JUSTIN DAVID KRIEZELMAN MD

Original Issue Date

10/16/2013

Effective Date

10/16/2013

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60617

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020