ANDREI VLADIMIR PANKOV MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054733

License Status

CANCELLED

Business

First Name

ANDREI

Middle

VLADIMIR

Last Name

PANKOV

Suffix

Business Name

ANDREI VLADIMIR PANKOV MD

Original Issue Date

06/24/2008

Effective Date

06/24/2008

Expiration Date

06/23/2011

City

CHICAGO

State

Zip

60402

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

05/14/2008