JAMES EDWARD MACIOCH DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

ACTIVE

Business

First Name

JAMES EDWARD

Last Name

MACIOCH

Suffix

Business Name

JAMES EDWARD MACIOCH DO

Original Issue Date

01/01/1997

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

MILWAUKEE

State

Zip

53202

County

WISCONSIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023