KONSTANTINS O KOCIASVILI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052607

License Status

EXPIRED

Business

Title

First Name

KONSTANTINS

Middle

Last Name

KOCIASVILI

Business Name

KONSTANTINS O KOCIASVILI MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

GLENVIEW

State

Zip

60026

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/08/2010