OLEKSANDR PIVNENKO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125085331

License Status

ACTIVE

Business

Title

First Name

OLEKSANDR

Last Name

PIVNENKO

Business Name

OLEKSANDR PIVNENKO MD

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

06/30/2026

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/27/2025