ANDREW W DVORAK Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

Last Name

DVORAK

Business Name

ANDREW W DVORAK

Original Issue Date

02/01/2011

Effective Date

06/26/2014

Expiration Date

07/31/2017

City

DANVILLE

State

Zip

61832

County

VERMILION

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017