ALBENA DIMITROVA BAHARIEVA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

NOT RENEWED

Business

First Name

ALBENA

Middle

DIMITROVA

Last Name

BAHARIEVA

Suffix

Business Name

ALBENA DIMITROVA BAHARIEVA MD

Original Issue Date

11/08/2000

Effective Date

05/11/2011

Expiration Date

07/31/2014

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020