ROGER A KONWAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

First Name

ROGER

Middle

Last Name

KONWAL

Suffix

Business Name

ROGER A KONWAL MD

Original Issue Date

09/25/1990

Effective Date

09/25/1990

Expiration Date

07/31/1996

City

WESTMONT

State

Zip

60559

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020