JUSTIN EDWARD DVORAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036146845

License Status

NOT RENEWED

Business

Title

First Name

JUSTIN

Middle

EDWARD

Last Name

DVORAK

Business Name

JUSTIN EDWARD DVORAK MD

Original Issue Date

07/10/2018

Effective Date

07/10/2018

Expiration Date

09/30/2020

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021