KONSTANTIN Y GARIBASHVILI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063882

License Status

CANCELLED

Business

Title

First Name

KONSTANTIN

Middle

Last Name

GARIBASHVILI

Business Name

KONSTANTIN Y GARIBASHVILI MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2016

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/25/2014