OLGA SEMYONOVNA RADKEVICH BROWN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

INACTIVE

Business

Title

First Name

OLGA

Middle

SEMYONOVNA

Last Name

RADKEVICH BROWN

Business Name

OLGA SEMYONOVNA RADKEVICH BROWN MD

Original Issue Date

06/20/2017

Effective Date

06/20/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/20/2017