ANDREW IVANCHENKO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

ACTIVE

Business

First Name

ANDREW

Last Name

IVANCHENKO

Business Name

ANDREW IVANCHENKO

Original Issue Date

07/26/2004

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/23/2023