MARY LOUISE BUDZAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

NOT RENEWED

Business

First Name

MARY LOUISE

Last Name

BUDZAK

Suffix

Business Name

MARY LOUISE BUDZAK MD

Original Issue Date

06/25/1984

Effective Date

06/25/1984

Expiration Date

07/31/1996

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020