ADAM STANISLAW BETKOWSKI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

CANCELLED

Business

First Name

ADAM

Middle

STANISLAW

Last Name

BETKOWSKI

Suffix

Business Name

ADAM STANISLAW BETKOWSKI MD

Original Issue Date

02/04/2000

Effective Date

02/04/2000

Expiration Date

07/31/2002

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006