EVAN MICHAEL PUSHCHAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

NOT RENEWED

Business

Title

First Name

EVAN

Middle

MICHAEL

Last Name

PUSHCHAK

Business Name

EVAN MICHAEL PUSHCHAK MD

Original Issue Date

08/13/2013

Effective Date

08/13/2013

Expiration Date

07/31/2014

City

HAZEL CREST

State

Zip

60429

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014