JONATHAN THOMAS KOWALSKI Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****24

License Status

NOT RENEWED

Business

First Name

JONATHAN

Middle

THOMAS

Last Name

KOWALSKI

Business Name

JONATHAN THOMAS KOWALSKI

Original Issue Date

01/27/2014

Effective Date

02/03/2016

Expiration Date

03/31/2018

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/19/2018