ALEXANDER FEOKTISTOV MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

ACTIVE

Business

Title

First Name

ALEXANDER

Last Name

FEOKTISTOV

Business Name

ALEXANDER FEOKTISTOV MD

Original Issue Date

09/11/2009

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

GLENVIEW

State

Zip

60025

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023