YELENA Y KOLEZEVA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

First Name

YELENA

Middle

Last Name

KOLEZEVA

Business Name

YELENA Y KOLEZEVA

Original Issue Date

06/29/2001

Effective Date

07/24/2023

Expiration Date

07/31/2026

City

WAUKEGAN

State

Zip

60085

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/24/2023