ANDREW P KRIVOSHIK Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

ACTIVE

Business

First Name

ANDREW P

Last Name

KRIVOSHIK

Business Name

ANDREW P KRIVOSHIK

Original Issue Date

07/21/2004

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023