IZABELA ANNA MUSIAL Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

CANCELLED

Business

First Name

IZABELA

Middle

ANNA

Last Name

MUSIAL

Business Name

IZABELA ANNA MUSIAL

Original Issue Date

03/25/2002

Effective Date

03/25/2002

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60625

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

10/09/2006