EDUARD DVORAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

EDUARD

Last Name

DVORAK

Suffix

Business Name

EDUARD DVORAK MD

Original Issue Date

01/17/1985

Effective Date

01/17/1985

Expiration Date

07/31/2008

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011