IVAN BOYADZHIEV MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

Business

Title

First Name

IVAN

Last Name

BOYADZHIEV

Business Name

IVAN BOYADZHIEV MD

Original Issue Date

07/07/2011

Effective Date

07/07/2011

Expiration Date

07/31/2014

City

DIXON

State

Zip

61021

County

LEE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014