ILYA PAVLOV DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125081391

License Status

ACTIVE

Business

Title

First Name

ILYA

Last Name

PAVLOV

Business Name

ILYA PAVLOV DO

Original Issue Date

07/03/2023

Effective Date

07/03/2023

Expiration Date

06/30/2026

City

HINSDALE

State

Zip

60521

County

DUPAGE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/26/2023