EGOR PETROCHENKOV MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125081795

License Status

EXPIRED

Business

Title

First Name

EGOR

Last Name

PETROCHENKOV

Business Name

EGOR PETROCHENKOV MD

Original Issue Date

06/24/2023

Effective Date

06/24/2023

Expiration Date

06/23/2024

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

10/30/2024