VADIM LYUKSEMBURG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070832

License Status

CANCELLED

Business

Title

First Name

VADIM

Last Name

LYUKSEMBURG

Business Name

VADIM LYUKSEMBURG MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2022

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

06/20/2020