DANIEL HARRY HAVLICHEK III MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

ACTIVE

Business

Title

First Name

DANIEL

Middle

HARRY

Last Name

HAVLICHEK III

Business Name

DANIEL HARRY HAVLICHEK III MD

Original Issue Date

05/25/2022

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60301

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/06/2023