RONALD BLAZEY BUKOWY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

First Name

RONALD BLAZEY

Last Name

BUKOWY

Suffix

Business Name

RONALD BLAZEY BUKOWY MD

Original Issue Date

06/13/1988

Effective Date

05/30/2017

Expiration Date

09/30/2020

City

GENEVA

State

Zip

60134

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021