YEVGENIY A KHAVKIN Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045462

License Status

CANCELLED

Business

First Name

YEVGENIY

Middle

Last Name

KHAVKIN

Business Name

YEVGENIY A KHAVKIN

Original Issue Date

12/23/2002

Effective Date

12/23/2002

Expiration Date

11/19/2005

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Neurological Surgery

Ever Disciplined

LastModifiedDate

09/22/2006