STANISLAV I PAVLOVSKY Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

ACTIVE

Business

First Name

STANISLAV

Middle

Last Name

PAVLOVSKY

Business Name

STANISLAV I PAVLOVSKY

Original Issue Date

07/20/1998

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60634

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/06/2023