CONSTANCE H WOJTOWICZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

NOT RENEWED

Business

First Name

CONSTANCE

Middle

Last Name

WOJTOWICZ

Suffix

Business Name

CONSTANCE H WOJTOWICZ MD

Original Issue Date

11/05/1993

Effective Date

05/16/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014