STEPHANIE E WOJTOWICZ Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100036

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

WOJTOWICZ

Business Name

STEPHANIE E WOJTOWICZ

Original Issue Date

04/15/1999

Effective Date

06/12/2017

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/14/2021