PETER W KAKAVAS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

ACTIVE

Business

First Name

PETER W

Last Name

KAKAVAS

Suffix

Business Name

PETER W KAKAVAS MD

Original Issue Date

10/04/1999

Effective Date

06/17/2023

Expiration Date

07/31/2026

City

MOKENA

State

Zip

60448

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/17/2023