OTAKAR SROUBEK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

ACTIVE

Business

First Name

OTAKAR

Last Name

SROUBEK

Suffix

Business Name

OTAKAR SROUBEK MD

Original Issue Date

10/21/1985

Effective Date

04/29/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60631

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/29/2023