GREGORY SCOTT KRIVONYAK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

ACTIVE

Business

Title

First Name

GREGORY

Middle

SCOTT

Last Name

KRIVONYAK

Business Name

GREGORY SCOTT KRIVONYAK MD

Original Issue Date

03/16/2023

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/06/2023