JOEL D SMUKOWSKI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

NOT RENEWED

Business

First Name

JOEL D

Last Name

SMUKOWSKI

Business Name

JOEL D SMUKOWSKI

Original Issue Date

05/19/1997

Effective Date

05/19/1997

Expiration Date

07/31/2002

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006