ALEX SEVRUKOV MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000191

License Status

EXPIRED

Business

First Name

ALEX

Last Name

SEVRUKOV

Suffix

Business Name

ALEX SEVRUKOV MD

Original Issue Date

03/28/2003

Effective Date

03/28/2003

Expiration Date

10/20/2003

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/23/2006