ROCHELLE MIRIAM PUDLOWSKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

NOT RENEWED

Business

First Name

ROCHELLE MIRIAM

Last Name

PUDLOWSKI

Suffix

Business Name

ROCHELLE MIRIAM PUDLOWSKI MD

Original Issue Date

01/12/1983

Effective Date

01/12/1983

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006