RONALD JAY WIEWORA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

INACTIVE

Business

First Name

RONALD JAY

Last Name

WIEWORA

Suffix

Business Name

RONALD JAY WIEWORA MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006