MIRIAM S LUTWAK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

ACTIVE

Business

First Name

MIRIAM S

Last Name

LUTWAK

Suffix

Business Name

MIRIAM S LUTWAK MD

Original Issue Date

06/10/1987

Effective Date

04/17/2023

Expiration Date

07/31/2026

City

WINNETKA

State

Zip

60093

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2023