DAVID E KACZOR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

ACTIVE

Business

First Name

DAVID

Middle

Last Name

KACZOR

Suffix

Business Name

DAVID E KACZOR MD

Original Issue Date

03/29/2001

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

LA GRANGE

State

Zip

60525

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023