EUSTACHIUS JURKEWYCZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

NOT RENEWED

Business

First Name

EUSTACHIUS

Last Name

JURKEWYCZ

Suffix

Business Name

EUSTACHIUS JURKEWYCZ MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1987

City

ROCKFORD

State

Zip

61107

County

BOONE

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/26/2006