MARK ADAM KONIECZNY Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****54

License Status

NOT RENEWED

Business

First Name

MARK ADAM

Last Name

KONIECZNY

Business Name

MARK ADAM KONIECZNY

Original Issue Date

06/28/1982

Effective Date

11/24/2020

Expiration Date

01/31/2023

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/31/2023