WASYL WILLIAM FEDORIW MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

NOT RENEWED

Business

First Name

WASYL

Middle

WILLIAM

Last Name

FEDORIW

Suffix

Business Name

WASYL WILLIAM FEDORIW MD

Original Issue Date

07/19/2011

Effective Date

07/19/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014