ERIC C BOUWENS MD Medical Doctor License verification

Business Entity

INOPERATIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

INOPERATIVE

Business

First Name

ERIC C

Last Name

BOUWENS

Suffix

Business Name

ERIC C BOUWENS MD

Original Issue Date

11/04/1987

Effective Date

11/04/1987

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60641

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006