KENNETH A ICZKOWSKI MD Medical Doctor License verification

KENNETH A ICZKOWSKI MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135591

License Status

NOT RENEWED

Business

Title

First Name

KENNETH

Middle

Last Name

ICZKOWSKI

Business Name

KENNETH A ICZKOWSKI MD

Original Issue Date

06/19/2014

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

BROOKFIELD

State

Zip

53045

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/14/2021

Case Number

2013011179

Action

Reprimand

Discipline Start Date

06/02/2014

Discipline Reason

based on prior disciplinary action taken by the Colorado Board of Medical Examiners, the Pennsylvania board of medician, and the Florida board of medicine.