SUZANNE MARIE KAVIC MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

NOT RENEWED

Business

Title

First Name

SUZANNE

Middle

MARIE

Last Name

KAVIC

Business Name

SUZANNE MARIE KAVIC MD

Original Issue Date

07/25/2008

Effective Date

04/18/2014

Expiration Date

07/31/2017

City

OAK BROOK TERRACE

State

Zip

60181

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017