JUSTIN EDWARD DVORAK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062910

License Status

CANCELLED

Business

Title

First Name

JUSTIN

Middle

EDWARD

Last Name

DVORAK

Business Name

JUSTIN EDWARD DVORAK MD

Original Issue Date

06/22/2016

Effective Date

06/22/2016

Expiration Date

06/21/2018

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

03/22/2016