YURI VALERIEVICH KHODAKOV MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

NOT RENEWED

Business

First Name

YURI

Middle

VALERIEVICH

Last Name

KHODAKOV

Suffix

Business Name

YURI VALERIEVICH KHODAKOV MD

Original Issue Date

05/23/2000

Effective Date

05/23/2000

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017