PETER W KAKAVAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

NOT RENEWED

Business

First Name

PETER W

Last Name

KAKAVAS

Suffix

Business Name

PETER W KAKAVAS MD

Original Issue Date

05/31/2005

Effective Date

05/31/2005

Expiration Date

07/31/2008

City

PALOS PARK

State

Zip

60464

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020