BOZENA E SCIGACZ Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

NOT RENEWED

Business

First Name

BOZENA

Middle

Last Name

SCIGACZ

Business Name

BOZENA E SCIGACZ

Original Issue Date

08/09/2002

Effective Date

08/09/2002

Expiration Date

07/31/2005

City

LOMBARD

State

Zip

60148

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020