PAVEL VLADIMIROVICH KROTENKOV MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066090

License Status

EXPIRED

Business

Title

First Name

PAVEL

Middle

VLADIMIROVICH

Last Name

KROTENKOV

Business Name

PAVEL VLADIMIROVICH KROTENKOV MD

Original Issue Date

08/01/2015

Effective Date

08/01/2015

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Spine Surgery

Ever Disciplined

LastModifiedDate

09/19/2017