KONSTANTIN DAMIANOV BUKOV MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051408

License Status

CANCELLED

Business

First Name

KONSTANTIN

Middle

DAMIANOV

Last Name

BUKOV

Suffix

Business Name

KONSTANTIN DAMIANOV BUKOV MD

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

AURORA

State

Zip

60504

County

DUPAGE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006