SOPHIA EUGENIA AGAPOVA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

ACTIVE

Business

Title

First Name

SOPHIA

Middle

EUGENIA

Last Name

AGAPOVA

Business Name

SOPHIA EUGENIA AGAPOVA MD

Original Issue Date

06/16/2020

Effective Date

05/18/2023

Expiration Date

07/31/2026

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/18/2023