DIMITRI D KUZNETSOV - Medical Doctor License in Illinois | # 125035908

DIMITRI D KUZNETSOV

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035908

License Status

EXPIRED

Business

N

First Name

DIMITRI

Middle

D

Last Name

KUZNETSOV

Business Name

DIMITRI D KUZNETSOV

Original Issue Date

05/09/1997

Effective Date

05/09/1997

Expiration Date

06/23/2000

State

IL

Specialty/Qualifier

Urology

Ever Disciplined

N

LastModifiedDate

09/22/2006