SEMEN SERGEEVICH SPIRIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

NOT RENEWED

Business

Title

First Name

SEMEN

Middle

SERGEEVICH

Last Name

SPIRIN

Business Name

SEMEN SERGEEVICH SPIRIN MD

Original Issue Date

09/11/2009

Effective Date

10/24/2017

Expiration Date

09/30/2020

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021