VITALI KONONOV MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124299

License Status

NOT RENEWED

Business

First Name

VITALI

Last Name

KONONOV

Suffix

Business Name

VITALI KONONOV MD

Original Issue Date

08/31/2009

Effective Date

07/11/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017