VAKHTAG BOCHORISHVILI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

First Name

VAKHTAG

Last Name

BOCHORISHVILI

Suffix

Business Name

VAKHTAG BOCHORISHVILI MD

Original Issue Date

08/26/2002

Effective Date

08/26/2002

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

04/07/2011