ALEXANDER MEDVEDEV MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057105

License Status

CANCELLED

Business

First Name

ALEXANDER

Last Name

MEDVEDEV

Suffix

Business Name

ALEXANDER MEDVEDEV MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

SKOKIE

State

Zip

60077

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

06/10/2009