ALEXANDER VICTOR SHYDOHUB MD - Medical Doctor License in New Mexico | # 33*****34

ALEXANDER VICTOR SHYDOHUB MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

NOT RENEWED

Business

N

First Name

ALEXANDER VICTOR

Last Name

SHYDOHUB

Suffix

MD

Business Name

ALEXANDER VICTOR SHYDOHUB MD

Original Issue Date

03/24/1982

Effective Date

06/10/2020

Expiration Date

07/31/2023

State

NM

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

11/30/2023