PETER C MIKOLAJCZAK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

ACTIVE

Business

Title

First Name

PETER

Middle

Last Name

MIKOLAJCZAK

Business Name

PETER C MIKOLAJCZAK MD

Original Issue Date

11/26/2014

Effective Date

07/29/2023

Expiration Date

07/31/2026

City

ST LOUIS

State

Zip

63127

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/29/2023