TIMOTHY MICHAEL VAVRA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

ACTIVE

Business

First Name

TIMOTHY

Middle

MICHAEL

Last Name

VAVRA

Suffix

Business Name

TIMOTHY MICHAEL VAVRA DO

Original Issue Date

08/10/1998

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023