ALEXANDER WOJCIECH PASTUSZAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

Title

First Name

ALEXANDER

Middle

WOJCIECH

Last Name

PASTUSZAK

Business Name

ALEXANDER WOJCIECH PASTUSZAK MD

Original Issue Date

05/12/2020

Effective Date

05/12/2020

Expiration Date

07/31/2023

City

SALT LAKE CITY

State

Zip

84103

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023