DOUGLAS W DVORAK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134728

License Status

INACTIVE

Business

Title

First Name

DOUGLAS

Middle

Last Name

DVORAK

Business Name

DOUGLAS W DVORAK MD

Original Issue Date

03/04/2014

Effective Date

06/26/2017

Expiration Date

09/30/2020

City

DAVENPORT

State

Zip

52807

County

IOWA

Ever Disciplined

LastModifiedDate

04/05/2020