THOMAS J SHAKNOVSKY DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

Last Name

SHAKNOVSKY

Suffix

Business Name

THOMAS J SHAKNOVSKY DO

Original Issue Date

04/23/2012

Effective Date

04/23/2012

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60601

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/28/2020