WLODZIMIERZ STEF RYBAK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

CANCELLED

Business

First Name

WLODZIMIERZ STEF

Last Name

RYBAK

Suffix

Business Name

WLODZIMIERZ STEF RYBAK MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2005

City

DIXON

State

Zip

61021

County

LEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006