PAUL PISARIK 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

PAUL

Last Name

PISARIK

Suffix

Business Name

PAUL PISARIK MD

Original Issue Date

07/28/1982

Effective Date

07/28/1982

Expiration Date

07/31/1984

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006