ROBERT M SIWIEC MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

Last Name

SIWIEC

Suffix

Business Name

ROBERT M SIWIEC MD

Original Issue Date

12/11/2008

Effective Date

07/01/2011

Expiration Date

07/31/2014

City

EVANSTON

State

Zip

60203

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014