MIKHAIL KHODARKOVSKIY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042056

License Status

EXPIRED

Business

First Name

MIKHAIL

Last Name

KHODARKOVSKIY

Suffix

Business Name

MIKHAIL KHODARKOVSKIY MD

Original Issue Date

07/17/2000

Effective Date

07/17/2000

Expiration Date

07/16/2003

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006