DMITRIY BREYDBURD MD - Medical Doctor License in Illinois | # 125062222

DMITRIY BREYDBURD MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062222

License Status

CANCELLED

Business

N

Title

MD

First Name

DMITRIY

Last Name

BREYDBURD

Business Name

DMITRIY BREYDBURD MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2016

State

IL

Specialty/Qualifier

Anesthesiology

Ever Disciplined

N

LastModifiedDate

06/05/2015