YULIA M DEMIDOVICH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

Title

First Name

YULIA

Middle

Last Name

DEMIDOVICH

Business Name

YULIA M DEMIDOVICH MD

Original Issue Date

11/17/2015

Effective Date

04/24/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60707

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021