DOROTHY J WAWROSE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

First Name

DOROTHY

Middle

Last Name

WAWROSE

Suffix

Business Name

DOROTHY J WAWROSE MD

Original Issue Date

10/24/2000

Effective Date

10/24/2000

Expiration Date

07/31/2005

City

GLENVIEW

State

Zip

60025

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020