VLADIMIR A LYTCHAKOV MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

ACTIVE

Business

First Name

VLADIMIR

Middle

Last Name

LYTCHAKOV

Suffix

Business Name

VLADIMIR A LYTCHAKOV MD

Original Issue Date

06/30/2008

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023