BARBARA S DUDCZAK Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

NOT RENEWED

Business

First Name

BARBARA S

Last Name

DUDCZAK

Business Name

BARBARA S DUDCZAK

Original Issue Date

12/16/1996

Effective Date

12/16/1996

Expiration Date

07/31/2008

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008