MILENA IVANOVA IVANOVA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

NOT RENEWED

Business

Title

First Name

MILENA

Middle

IVANOVA

Last Name

IVANOVA

Business Name

MILENA IVANOVA IVANOVA MD

Original Issue Date

12/01/2015

Effective Date

12/01/2015

Expiration Date

07/31/2017

City

HARVEY

State

Zip

60426

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020