BETH JEAN MAKOWSKI DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

NOT RENEWED

Business

First Name

BETH

Middle

JEAN

Last Name

MAKOWSKI

Suffix

Business Name

BETH JEAN MAKOWSKI DO

Original Issue Date

07/03/2013

Effective Date

07/03/2013

Expiration Date

07/31/2014

City

LONG GROVE

State

Zip

60047

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014