MAREK LISEK DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

ACTIVE

Business

Title

First Name

MAREK

Last Name

LISEK

Business Name

MAREK LISEK DO

Original Issue Date

07/14/2025

Effective Date

07/14/2025

Expiration Date

07/31/2026

City

GREENFIELD

State

Zip

53220

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/14/2025