ALEXANDER E MICHALOW MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

ACTIVE

Business

First Name

ALEXANDER E

Last Name

MICHALOW

Suffix

Business Name

ALEXANDER E MICHALOW MD

Original Issue Date

07/06/1990

Effective Date

07/04/2023

Expiration Date

07/31/2026

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/04/2023