KONSTANTINS O KOCIASVILI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

ACTIVE

Business

Title

First Name

KONSTANTINS

Middle

Last Name

KOCIASVILI

Business Name

KONSTANTINS O KOCIASVILI MD

Original Issue Date

08/01/2014

Effective Date

07/22/2023

Expiration Date

07/31/2026

City

GLENVIEW

State

Zip

60025

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/22/2023