NICOLAI GHENIEVICI MEJEVOI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

Title

First Name

NICOLAI

Middle

GHENIEVICI

Last Name

MEJEVOI

Business Name

NICOLAI GHENIEVICI MEJEVOI MD

Original Issue Date

06/09/2010

Effective Date

08/02/2017

Expiration Date

09/30/2020

City

PORT CHARLOTTE

State

Zip

33952

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021