LIDIA KLETCHIKOVA BROWN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047143

License Status

CANCELLED

Business

First Name

LIDIA

Middle

KLETCHIKOVA

Last Name

BROWN

Suffix

Business Name

LIDIA KLETCHIKOVA BROWN MD

Original Issue Date

01/05/2004

Effective Date

01/05/2004

Expiration Date

01/26/2007

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

09/22/2006