OLGA IVSIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

NOT RENEWED

Business

First Name

OLGA

Last Name

IVSIN

Suffix

Business Name

OLGA IVSIN MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1987

City

EVANSTON

State

Zip

60202

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006

Case Number

1985000438

Action

Suspension

Discipline Start Date

06/04/1986