OLGA IVANOV Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040941

License Status

EXPIRED

Business

First Name

OLGA

Last Name

IVANOV

Business Name

OLGA IVANOV

Original Issue Date

07/18/2005

Effective Date

07/18/2005

Expiration Date

07/17/2006

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Breast Fellowship

Ever Disciplined

LastModifiedDate

09/22/2006