ALEXANDER E MICHALOW MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

NOT RENEWED

Business

First Name

ALEXANDER E

Last Name

MICHALOW

Suffix

Business Name

ALEXANDER E MICHALOW MD

Original Issue Date

07/28/2004

Effective Date

05/08/2014

Expiration Date

07/31/2017

City

BRADLEY

State

Zip

60915

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020