AVRAM IVANOV AVRAMOV MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

NOT RENEWED

Business

First Name

AVRAM IVANOV

Last Name

AVRAMOV

Suffix

Business Name

AVRAM IVANOV AVRAMOV MD

Original Issue Date

08/19/1996

Effective Date

05/04/2017

Expiration Date

09/30/2020

City

DARIEN

State

Zip

60561

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021