MARY GAIL H KWIECINSKI DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****26

License Status

ACTIVE

Business

First Name

MARY GAIL H

Last Name

KWIECINSKI

Suffix

DPM

Business Name

MARY GAIL H KWIECINSKI DPM

Original Issue Date

07/23/1986

Effective Date

01/14/2025

Expiration Date

01/31/2027

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025