DOUGLAS W DVORAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

NOT RENEWED

Business

Title

First Name

DOUGLAS

Middle

Last Name

DVORAK

Business Name

DOUGLAS W DVORAK MD

Original Issue Date

05/01/2014

Effective Date

06/26/2017

Expiration Date

09/30/2020

City

DAVENPORT

State

Zip

52807

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021