BORISLAV MOMCHILOV NIKOLOV MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

First Name

BORISLAV

Middle

MOMCHILOV

Last Name

NIKOLOV

Suffix

Business Name

BORISLAV MOMCHILOV NIKOLOV MD

Original Issue Date

09/05/2000

Effective Date

04/24/2014

Expiration Date

07/31/2017

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020