MICHAEL S GREENWALD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

NOT RENEWED

Business

First Name

MICHAEL S

Last Name

GREENWALD

Business Name

MICHAEL S GREENWALD

Original Issue Date

01/01/1997

Effective Date

09/20/2018

Expiration Date

09/30/2020

City

MINOOKA

State

Zip

60447

County

GRUNDY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021