YEVGENIY A KHAVKIN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116549

License Status

NOT RENEWED

Business

First Name

YEVGENIY

Middle

Last Name

KHAVKIN

Business Name

YEVGENIY A KHAVKIN

Original Issue Date

07/19/2006

Effective Date

08/21/2008

Expiration Date

07/31/2011

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011