EVA B WYRWA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

Business

First Name

EVA B

Last Name

WYRWA

Suffix

Business Name

EVA B WYRWA MD

Original Issue Date

08/16/2002

Effective Date

06/02/2014

Expiration Date

07/31/2017

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020