ANASTASIA LVOVNA KHOUBAEVA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056333

License Status

CANCELLED

Business

Title

First Name

ANASTASIA

Middle

LVOVNA

Last Name

KHOUBAEVA

Business Name

ANASTASIA LVOVNA KHOUBAEVA MD

Original Issue Date

06/24/2009

Effective Date

06/24/2009

Expiration Date

06/23/2012

City

RIVER FOREST

State

Zip

60605

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/13/2009