KATIA V ILIEVA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

First Name

KATIA V

Last Name

ILIEVA

Business Name

KATIA V ILIEVA

Original Issue Date

07/03/2007

Effective Date

05/15/2008

Expiration Date

07/31/2011

City

BELVIDERE

State

Zip

61008

County

BOONE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020