EUGENE GREGORY LIPOV MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

NOT RENEWED

Business

Title

First Name

EUGENE

Middle

GREGORY

Last Name

LIPOV

Business Name

EUGENE GREGORY LIPOV MD

Original Issue Date

01/17/2003

Effective Date

01/17/2003

Expiration Date

07/31/2005

City

ELMHURST

State

Zip

60126

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020