BIANA KOTLYAR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060700

License Status

CANCELLED

Business

Title

First Name

BIANA

Last Name

KOTLYAR

Business Name

BIANA KOTLYAR MD

Original Issue Date

08/22/2014

Effective Date

08/22/2014

Expiration Date

08/21/2015

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

08/22/2014