STEPHEN ROBERT HUMOWIECKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053572

License Status

NOT RENEWED

Business

First Name

STEPHEN ROBERT

Last Name

HUMOWIECKI

Suffix

Business Name

STEPHEN ROBERT HUMOWIECKI MD

Original Issue Date

09/17/1976

Effective Date

06/22/2017

Expiration Date

09/30/2020

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021