DANIEL HARRY HAVLICHEK III MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036160678

License Status

ACTIVE

Business

Title

First Name

DANIEL

Middle

HARRY

Last Name

HAVLICHEK III

Business Name

DANIEL HARRY HAVLICHEK III MD

Original Issue Date

05/25/2022

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60301

County

COOK

Ever Disciplined

LastModifiedDate

06/06/2023