ANDREW MICHAEL BONWIT Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

MICHAEL

Last Name

BONWIT

Business Name

ANDREW MICHAEL BONWIT

Original Issue Date

12/18/2006

Effective Date

09/28/2020

Expiration Date

07/31/2023

City

FOREST PARK

State

Zip

60130

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023