RICHARD JOSEPH WILCZYNSKI DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****55

License Status

NOT RENEWED

Business

First Name

RICHARD JOSEPH

Last Name

WILCZYNSKI

Suffix

DPM

Business Name

RICHARD JOSEPH WILCZYNSKI DPM

Original Issue Date

06/29/1981

Effective Date

03/01/2017

Expiration Date

01/31/2019

City

LONG GROVE

State

Zip

60047

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/28/2019