IRINA GONCHAROVA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

ACTIVE

Business

First Name

IRINA

Last Name

GONCHAROVA

Business Name

IRINA GONCHAROVA

Original Issue Date

06/29/2004

Effective Date

12/27/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61114

County

BOONE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/26/2023