EDWARD G DOLEZAL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

ACTIVE

Business

First Name

EDWARD G

Last Name

DOLEZAL

Suffix

Business Name

EDWARD G DOLEZAL MD

Original Issue Date

04/17/1985

Effective Date

04/22/2023

Expiration Date

07/31/2026

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/22/2023