ALEXANDER MEDVEDEV MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

ACTIVE

Business

First Name

ALEXANDER

Last Name

MEDVEDEV

Suffix

Business Name

ALEXANDER MEDVEDEV MD

Original Issue Date

08/05/2011

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/02/2023