MAREK T DIDLUCH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

ACTIVE

Business

First Name

MAREK

Middle

Last Name

DIDLUCH

Suffix

Business Name

MAREK T DIDLUCH MD

Original Issue Date

04/06/2004

Effective Date

06/14/2023

Expiration Date

07/31/2026

City

FRANKENMUTH

State

Zip

48734

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/14/2023