BARRY F OSWALT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

Title

First Name

BARRY

Middle

Last Name

OSWALT

Business Name

BARRY F OSWALT MD

Original Issue Date

10/24/2012

Effective Date

10/24/2012

Expiration Date

07/31/2014

City

ORLAND PARK

State

Zip

60462

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014