MARY IMOGEN BOWERS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

First Name

MARY IMOGEN

Last Name

BOWERS

Suffix

Business Name

MARY IMOGEN BOWERS MD

Original Issue Date

12/07/1983

Effective Date

12/07/1983

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006