MIKHAIL KHODARKOVSKIY 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

MIKHAIL

Last Name

KHODARKOVSKIY

Suffix

Business Name

MIKHAIL KHODARKOVSKIY MD

Original Issue Date

07/26/2002

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

MUNDELEIN

State

Zip

60060

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/09/2023