VAKHTAG BOCHORISHVILI MD - Medical Doctor License in Illinois | # 125042119

VAKHTAG BOCHORISHVILI MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042119

License Status

EXPIRED

Business

N

First Name

VAKHTAG

Last Name

BOCHORISHVILI

Suffix

MD

Business Name

VAKHTAG BOCHORISHVILI MD

Original Issue Date

08/10/2000

Effective Date

08/10/2000

Expiration Date

08/09/2002

State

IL

Specialty/Qualifier

Infectious Disease

Ever Disciplined

N

LastModifiedDate

09/22/2006