ANNA SPORYSHEVA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077010

License Status

EXPIRED

Business

Title

First Name

ANNA

Last Name

SPORYSHEVA

Business Name

ANNA SPORYSHEVA MD

Original Issue Date

07/07/2020

Effective Date

07/07/2020

Expiration Date

07/06/2021

City

NILES

State

Zip

60714

County

COOK

Specialty/Qualifier

Pediatric Ophthalmology and Strabismus

Ever Disciplined

LastModifiedDate

10/11/2022