STANISLAW REWERSKI MD 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

STANISLAW

Last Name

REWERSKI

Suffix

Business Name

STANISLAW REWERSKI MD

Original Issue Date

06/09/2006

Effective Date

05/20/2023

Expiration Date

07/31/2026

City

DIXON

State

Zip

61021

County

LEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/20/2023