DAVID J SLIVNICK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

First Name

DAVID J

Last Name

SLIVNICK

Suffix

Business Name

DAVID J SLIVNICK MD

Original Issue Date

06/29/2005

Effective Date

06/29/2005

Expiration Date

07/31/2008

City

LAKE FOREST

State

Zip

60045

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020