GENNADY G VERTKIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069882

License Status

NOT RENEWED

Business

First Name

GENNADY G

Last Name

VERTKIN

Suffix

Business Name

GENNADY G VERTKIN MD

Original Issue Date

11/26/1984

Effective Date

11/26/1984

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

06/10/2011