ANTOANETA IVANOVA ILIEVA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

NOT RENEWED

Business

First Name

ANTOANETA

Middle

IVANOVA

Last Name

ILIEVA

Suffix

Business Name

ANTOANETA IVANOVA ILIEVA MD

Original Issue Date

03/11/2002

Effective Date

03/11/2002

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006