RICHARD W TWANOW MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

NOT RENEWED

Business

First Name

RICHARD W

Last Name

TWANOW

Suffix

Business Name

RICHARD W TWANOW MD

Original Issue Date

05/24/1995

Effective Date

07/17/2017

Expiration Date

09/30/2020

City

SPRING VALLEY

State

Zip

61362

County

BUREAU

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021