YURI VALERIEVICH KHODAKOV MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036811

License Status

EXPIRED

Business

First Name

YURI

Middle

VALERIEVICH

Last Name

KHODAKOV

Suffix

Business Name

YURI VALERIEVICH KHODAKOV MD

Original Issue Date

06/17/1997

Effective Date

06/17/1997

Expiration Date

06/30/2000

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006