ALEXEY V KOTOV Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035591

License Status

EXPIRED

Business

First Name

ALEXEY

Middle

Last Name

KOTOV

Business Name

ALEXEY V KOTOV

Original Issue Date

01/30/1997

Effective Date

01/30/1997

Expiration Date

01/22/1998

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Pediatric Cardiology

Ever Disciplined

LastModifiedDate

09/22/2006