LISA A KOWALSKI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

ACTIVE

Business

First Name

LISA

Middle

Last Name

KOWALSKI

Suffix

Business Name

LISA A KOWALSKI MD

Original Issue Date

10/17/1997

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023