RONALD STANLEY LISIECKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

NOT RENEWED

Business

Title

First Name

RONALD

Middle

STANLEY

Last Name

LISIECKI

Business Name

RONALD STANLEY LISIECKI MD

Original Issue Date

12/08/2011

Effective Date

05/24/2017

Expiration Date

09/30/2020

City

LOMIRA

State

Zip

53048

County

WISCONSIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021