KRZYSZTOF B SIEMIONOW MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

First Name

KRZYSZTOF

Middle

Last Name

SIEMIONOW

Suffix

Business Name

KRZYSZTOF B SIEMIONOW MD

Original Issue Date

06/10/2013

Effective Date

06/10/2013

Expiration Date

07/31/2014

City

MORTON GROVE

State

Zip

60053

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020