YELENA SERGEYEVA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047034

License Status

EXPIRED

Business

First Name

YELENA

Last Name

SERGEYEVA

Business Name

YELENA SERGEYEVA

Original Issue Date

07/18/2003

Effective Date

07/18/2003

Expiration Date

07/17/2006

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006