ALEXANDER FOROWYCZ Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

ACTIVE

Business

First Name

ALEXANDER

Last Name

FOROWYCZ

Business Name

ALEXANDER FOROWYCZ

Original Issue Date

03/14/2003

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/18/2023