DAVID J KOWALSKI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

CANCELLED

Business

First Name

DAVID J

Last Name

KOWALSKI

Suffix

Business Name

DAVID J KOWALSKI MD

Original Issue Date

06/23/1998

Effective Date

05/02/2014

Expiration Date

07/31/2017

City

STEWARDSON

State

Zip

62463

County

SHELBY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020