ERNEST PAUL LUCZKOWSKI DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****32

License Status

NOT RENEWED

Business

Title

DPM

First Name

ERNEST

Middle

PAUL

Last Name

LUCZKOWSKI

Business Name

ERNEST PAUL LUCZKOWSKI DPM

Original Issue Date

06/26/2017

Effective Date

01/03/2019

Expiration Date

01/31/2021

City

DES PLAINES

State

Zip

60016

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2021