ANASTASIA OSIPOVA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055366

License Status

CANCELLED

Business

First Name

ANASTASIA

Last Name

OSIPOVA

Suffix

Business Name

ANASTASIA OSIPOVA MD

Original Issue Date

06/20/2008

Effective Date

06/20/2008

Expiration Date

06/19/2011

City

CALEDONIA

State

Zip

61011

County

BOONE

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

06/20/2008