CONSTANCE H WOJTOWICZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

First Name

CONSTANCE

Middle

Last Name

WOJTOWICZ

Suffix

Business Name

CONSTANCE H WOJTOWICZ MD

Original Issue Date

10/19/1984

Effective Date

10/19/1984

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011