MICHAEL R GORALKA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

NOT RENEWED

Business

First Name

MICHAEL R

Last Name

GORALKA

Business Name

MICHAEL R GORALKA

Original Issue Date

07/16/1996

Effective Date

07/16/1996

Expiration Date

07/31/1999

City

MAYWOOD

State

Zip

60148

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006