GEORGE EDWARD HAVELKA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051474

License Status

CANCELLED

Business

First Name

GEORGE

Middle

EDWARD

Last Name

HAVELKA

Suffix

Business Name

GEORGE EDWARD HAVELKA MD

Original Issue Date

06/24/2009

Effective Date

06/24/2009

Expiration Date

06/23/2011

City

WINFIELD

State

Zip

60190

County

DUPAGE

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

06/02/2009