GREGORY JOHN BAUWENS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

First Name

GREGORY JOHN

Last Name

BAUWENS

Suffix

Business Name

GREGORY JOHN BAUWENS MD

Original Issue Date

10/25/1994

Effective Date

10/25/1994

Expiration Date

07/31/1999

City

ELMHURST

State

Zip

60126

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017