TATYANA RASHELLE DEMIDOVICH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105257

License Status

NOT RENEWED

Business

First Name

TATYANA

Middle

RASHELLE

Last Name

DEMIDOVICH

Suffix

Business Name

TATYANA RASHELLE DEMIDOVICH MD

Original Issue Date

07/23/2001

Effective Date

06/27/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017