NATHAN ALLEN BIBLIOWICZ DO 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

Title

First Name

NATHAN

Middle

ALLEN

Last Name

BIBLIOWICZ

Business Name

NATHAN ALLEN BIBLIOWICZ DO

Original Issue Date

06/24/2016

Effective Date

06/24/2016

Expiration Date

07/31/2017

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017