TATIANA P NAGIBINA Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

CANCELLED

Business

First Name

TATIANA

Middle

Last Name

NAGIBINA

Business Name

TATIANA P NAGIBINA

Original Issue Date

03/06/2001

Effective Date

03/06/2001

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60607

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006