ALEXANDER MARIA BLACHOWICZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

ACTIVE

Business

Title

First Name

ALEXANDER

Middle

MARIA

Last Name

BLACHOWICZ

Business Name

ALEXANDER MARIA BLACHOWICZ MD

Original Issue Date

08/30/2022

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60661

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2023