DETELINA YANEVA VASSILEVA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040516

License Status

CANCELLED

Business

First Name

DETELINA

Middle

YANEVA

Last Name

VASSILEVA

Suffix

Business Name

DETELINA YANEVA VASSILEVA MD

Original Issue Date

11/03/1999

Effective Date

11/03/1999

Expiration Date

10/03/2002

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006