THEODORE LEON KITOWSKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

First Name

THEODORE LEON

Last Name

KITOWSKI

Suffix

Business Name

THEODORE LEON KITOWSKI MD

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

NASHVILLE

State

Zip

62263

County

WASHINGTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017