ANDREI VLADIMIR PANKOV MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

ACTIVE

Business

First Name

ANDREI

Middle

VLADIMIR

Last Name

PANKOV

Suffix

Business Name

ANDREI VLADIMIR PANKOV MD

Original Issue Date

04/13/2011

Effective Date

06/14/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60622

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/14/2023