ALEXANDER KOTUKHOV MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067855

License Status

EXPIRED

Business

Title

First Name

ALEXANDER

Last Name

KOTUKHOV

Business Name

ALEXANDER KOTUKHOV MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2020

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

11/19/2020