ILIA ITIN MD - Medical Doctor License in Ohio | # 036109662

ILIA ITIN MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109662

License Status

NOT RENEWED

Business

N

First Name

ILIA

Last Name

ITIN

Suffix

MD

Business Name

ILIA ITIN MD

Original Issue Date

07/08/2003

Effective Date

07/31/2006

Expiration Date

07/31/2008

State

OH

Ever Disciplined

N

LastModifiedDate

11/06/2008