ROMAN ALEKSANDROVICH PULIAEV MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055443

License Status

CANCELLED

Business

First Name

ROMAN

Middle

ALEKSANDROVICH

Last Name

PULIAEV

Suffix

Business Name

ROMAN ALEKSANDROVICH PULIAEV MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

06/10/2008