BONNIE JOYCE VASTOLA-LEWAN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

ACTIVE

Business

First Name

BONNIE

Middle

JOYCE

Last Name

VASTOLA-LEWAN

Suffix

Business Name

BONNIE JOYCE VASTOLA-LEWAN DO

Original Issue Date

06/26/2009

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

BATAVIA

State

Zip

60510

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/19/2023