ILYA ISAAKOVICH FISHMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

ACTIVE

Business

Title

First Name

ILYA

Middle

ISAAKOVICH

Last Name

FISHMAN

Business Name

ILYA ISAAKOVICH FISHMAN MD

Original Issue Date

06/13/2007

Effective Date

06/17/2023

Expiration Date

07/31/2026

City

ELK GROVE

State

Zip

60007

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/17/2023