RONALD VINCENT KOWALSKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037347

License Status

NOT RENEWED

Business

First Name

RONALD VINCENT

Last Name

KOWALSKI

Suffix

Business Name

RONALD VINCENT KOWALSKI MD

Original Issue Date

09/15/1961

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

01/14/2021