TIMOTHY MICHAEL VAVRA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098617

License Status

ACTIVE

Business

First Name

TIMOTHY

Middle

MICHAEL

Last Name

VAVRA

Suffix

Business Name

TIMOTHY MICHAEL VAVRA DO

Original Issue Date

08/10/1998

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Ever Disciplined

LastModifiedDate

04/06/2023