JAROSLAV MIKHAILOVICH TYMOUCH 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

JAROSLAV

Middle

MIKHAILOVICH

Last Name

TYMOUCH

Suffix

Business Name

JAROSLAV MIKHAILOVICH TYMOUCH MD

Original Issue Date

04/23/2008

Effective Date

04/15/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/15/2023