IRINA ALEKSEEVNA PULIAEVA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

NOT RENEWED

Business

First Name

IRINA

Middle

ALEKSEEVNA

Last Name

PULIAEVA

Suffix

Business Name

IRINA ALEKSEEVNA PULIAEVA MD

Original Issue Date

04/25/2016

Effective Date

04/25/2016

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

11/01/2017