ALEXANDER S BOZANICH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

First Name

ALEXANDER S

Last Name

BOZANICH

Business Name

ALEXANDER S BOZANICH

Original Issue Date

07/16/1993

Effective Date

04/26/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60643

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014