STEPHAN R SAWICKI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

CANCELLED

Business

First Name

STEPHAN R

Last Name

SAWICKI

Suffix

Business Name

STEPHAN R SAWICKI MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011