LIZA KOSWARA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

First Name

LIZA

Last Name

KOSWARA

Suffix

Business Name

LIZA KOSWARA MD

Original Issue Date

03/16/1998

Effective Date

03/16/1998

Expiration Date

07/31/2005

City

BETHALTO

State

Zip

62010

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006