LYNN R VIDAKOVIC MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

First Name

LYNN

Middle

Last Name

VIDAKOVIC

Suffix

Business Name

LYNN R VIDAKOVIC MD

Original Issue Date

08/17/2005

Effective Date

08/26/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023