KONSTANTIN S DZAMASHVILI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032108

License Status

EXPIRED

Business

First Name

KONSTANTIN S

Last Name

DZAMASHVILI

Suffix

Business Name

KONSTANTIN S DZAMASHVILI MD

Original Issue Date

07/02/1994

Effective Date

07/02/1994

Expiration Date

06/30/1997

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

09/22/2006