IGOR VLADIMIROVICH SISTER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

ACTIVE

Business

Title

First Name

IGOR

Middle

VLADIMIROVICH

Last Name

SISTER

Business Name

IGOR VLADIMIROVICH SISTER MD

Original Issue Date

10/24/2023

Effective Date

10/24/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61636

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/24/2023