KATIA V ILIEVA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

ACTIVE

Business

First Name

KATIA V

Last Name

ILIEVA

Business Name

KATIA V ILIEVA

Original Issue Date

10/03/1997

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

ELK GROVE

State

Zip

60007

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/13/2023