MARINA A KUZNETSOVA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

First Name

MARINA A

Last Name

KUZNETSOVA

Business Name

MARINA A KUZNETSOVA

Original Issue Date

08/08/1995

Effective Date

08/08/1995

Expiration Date

07/31/1996

City

PEORIA

State

Zip

61637

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020