MARC ZEV KRICHAVSKY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

NOT RENEWED

Business

Title

First Name

MARC

Middle

ZEV

Last Name

KRICHAVSKY

Business Name

MARC ZEV KRICHAVSKY MD

Original Issue Date

06/22/2009

Effective Date

06/03/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60610

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014