R DAVID KOVACIK 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

R DAVID

Last Name

KOVACIK

Suffix

Business Name

R DAVID KOVACIK MD

Original Issue Date

06/14/1995

Effective Date

06/14/1995

Expiration Date

07/31/1999

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006