ROBERT M OSIPOV Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046996

License Status

EXPIRED

Business

First Name

ROBERT

Middle

Last Name

OSIPOV

Business Name

ROBERT M OSIPOV

Original Issue Date

07/11/2003

Effective Date

07/11/2003

Expiration Date

07/10/2005

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006