NELLY KVIRIKADZE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

ACTIVE

Business

First Name

NELLY

Last Name

KVIRIKADZE

Suffix

Business Name

NELLY KVIRIKADZE MD

Original Issue Date

08/23/2006

Effective Date

06/16/2023

Expiration Date

07/31/2026

City

LAKE FOREST

State

Zip

60045

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/16/2023