DMITRIY N FELDMAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000330

License Status

EXPIRED

Business

First Name

DMITRIY

Middle

Last Name

FELDMAN

Suffix

Business Name

DMITRIY N FELDMAN MD

Original Issue Date

12/13/2007

Effective Date

12/13/2007

Expiration Date

06/12/2008

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/26/2008