BOHDAN A LEBEDOWICZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

First Name

BOHDAN

Middle

Last Name

LEBEDOWICZ

Suffix

Business Name

BOHDAN A LEBEDOWICZ MD

Original Issue Date

11/16/2006

Effective Date

07/28/2011

Expiration Date

07/31/2014

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014