VAKHTAG BOCHORISHVILI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

First Name

VAKHTAG

Last Name

BOCHORISHVILI

Suffix

Business Name

VAKHTAG BOCHORISHVILI MD

Original Issue Date

03/29/2006

Effective Date

03/29/2006

Expiration Date

07/31/2008

City

HINSDALE

State

Zip

60521

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011