SERGEI G LIPOV MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

First Name

SERGEI G

Last Name

LIPOV

Suffix

Business Name

SERGEI G LIPOV MD

Original Issue Date

08/20/1984

Effective Date

08/20/1984

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60625

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020