YELENA BORISOVNA SEMENOVA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

ACTIVE

Business

Title

First Name

YELENA

Middle

BORISOVNA

Last Name

SEMENOVA

Business Name

YELENA BORISOVNA SEMENOVA DO

Original Issue Date

03/02/2018

Effective Date

06/27/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/27/2023