ANDREI SHARAPOV MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

First Name

ANDREI

Last Name

SHARAPOV

Suffix

Business Name

ANDREI SHARAPOV MD

Original Issue Date

07/15/2003

Effective Date

07/15/2003

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60640

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020