MARK WILLIAM KOVACH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

NOT RENEWED

Business

First Name

MARK

Middle

WILLIAM

Last Name

KOVACH

Suffix

Business Name

MARK WILLIAM KOVACH MD

Original Issue Date

06/30/2004

Effective Date

06/19/2014

Expiration Date

07/31/2017

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020