MARK DAVID LIVAK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

ACTIVE

Business

Title

First Name

MARK

Middle

DAVID

Last Name

LIVAK

Business Name

MARK DAVID LIVAK MD

Original Issue Date

07/16/2015

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

DOWNERS GROVE

State

Zip

60515

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2023