ALEXANDER YUR'EVICH GARIBASHVILY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045133

License Status

EXPIRED

Business

First Name

ALEXANDER

Middle

YUR'EVICH

Last Name

GARIBASHVILY

Suffix

Business Name

ALEXANDER YUR'EVICH GARIBASHVILY MD

Original Issue Date

07/01/2002

Effective Date

07/01/2002

Expiration Date

06/30/2005

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006