MICHAEL K OUWENGA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042360

License Status

EXPIRED

Business

First Name

MICHAEL

Middle

Last Name

OUWENGA

Business Name

MICHAEL K OUWENGA

Original Issue Date

07/01/2001

Effective Date

07/01/2001

Expiration Date

06/30/2004

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

09/22/2006