ANDREW IVANCHENKO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111777

License Status

ACTIVE

Business

First Name

ANDREW

Last Name

IVANCHENKO

Business Name

ANDREW IVANCHENKO

Original Issue Date

07/06/2004

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

06/23/2023