DANE MICHAEL CHETKOVICH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

ACTIVE

Business

First Name

DANE

Middle

MICHAEL

Last Name

CHETKOVICH

Suffix

Business Name

DANE MICHAEL CHETKOVICH MD

Original Issue Date

06/13/2002

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

NASHVILLE

State

Zip

37232

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/09/2023