BOGDAN LESZEK NOWAKOWSKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

NOT RENEWED

Business

First Name

BOGDAN LESZEK

Last Name

NOWAKOWSKI

Suffix

Business Name

BOGDAN LESZEK NOWAKOWSKI MD

Original Issue Date

11/21/2005

Effective Date

11/21/2005

Expiration Date

07/31/2008

City

MARION

State

Zip

62959

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008