JACK WAYNE BOWLING JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

NOT RENEWED

Business

First Name

JACK

Middle

WAYNE

Last Name

BOWLING

Suffix

JR MD

Business Name

JACK WAYNE BOWLING JR MD

Original Issue Date

04/25/2000

Effective Date

04/25/2000

Expiration Date

07/31/2002

City

WINFIELD

State

Zip

60190

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006