DAVID MICHAEL KOWALCZYK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

Title

First Name

DAVID

Middle

MICHAEL

Last Name

KOWALCZYK

Business Name

DAVID MICHAEL KOWALCZYK MD

Original Issue Date

10/01/2018

Effective Date

10/01/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021