ALEXANDER YUR'EVICH GARIBASHVILY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

ACTIVE

Business

First Name

ALEXANDER

Middle

YUR'EVICH

Last Name

GARIBASHVILY

Suffix

Business Name

ALEXANDER YUR'EVICH GARIBASHVILY MD

Original Issue Date

09/01/2004

Effective Date

05/03/2023

Expiration Date

07/31/2026

City

NORTHBROOK

State

Zip

60062

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/03/2023