AMY L KLICHOWSKI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

First Name

AMY L

Last Name

KLICHOWSKI

Business Name

AMY L KLICHOWSKI

Original Issue Date

12/28/1983

Effective Date

12/28/1983

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60646

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020