SEMEN SERGEEVICH SPIRIN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053807

License Status

CANCELLED

Business

Title

First Name

SEMEN

Middle

SERGEEVICH

Last Name

SPIRIN

Business Name

SEMEN SERGEEVICH SPIRIN MD

Original Issue Date

07/05/2007

Effective Date

07/05/2007

Expiration Date

07/04/2010

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

07/05/2007