TEAH QVAVADZE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036166578

License Status

ACTIVE

Business

Title

First Name

TEAH

Last Name

QVAVADZE

Business Name

TEAH QVAVADZE MD

Original Issue Date

08/17/2023

Effective Date

08/17/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/26/2023