EMMA FATTAKHOV MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128857

License Status

NOT RENEWED

Business

Title

First Name

EMMA

Last Name

FATTAKHOV

Business Name

EMMA FATTAKHOV MD

Original Issue Date

08/25/2011

Effective Date

08/25/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014