ALEXANDER SASHA YEVZLIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

NOT RENEWED

Business

First Name

ALEXANDER

Middle

SASHA

Last Name

YEVZLIN

Suffix

Business Name

ALEXANDER SASHA YEVZLIN MD

Original Issue Date

04/24/2003

Effective Date

04/24/2003

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006