DANIEL VODOVOTZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

First Name

DANIEL

Last Name

VODOVOTZ

Suffix

Business Name

DANIEL VODOVOTZ MD

Original Issue Date

12/28/1984

Effective Date

12/28/1984

Expiration Date

07/31/1993

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011