TATYANA RASHELLE DEMIDOVICH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039145

License Status

EXPIRED

Business

First Name

TATYANA

Middle

RASHELLE

Last Name

DEMIDOVICH

Suffix

Business Name

TATYANA RASHELLE DEMIDOVICH MD

Original Issue Date

06/24/1999

Effective Date

06/24/1999

Expiration Date

06/23/2002

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006