LUBOW O LEWICKY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

ACTIVE

Business

First Name

LUBOW O

Last Name

LEWICKY

Suffix

Business Name

LUBOW O LEWICKY MD

Original Issue Date

06/13/1997

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/13/2023