PAUL J KRIVICKAS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

ACTIVE

Business

Title

First Name

PAUL

Middle

Last Name

KRIVICKAS

Business Name

PAUL J KRIVICKAS MD

Original Issue Date

03/10/2009

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

WILMETTE

State

Zip

60091

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023