YEVGENIY A KHAVKIN 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

YEVGENIY

Middle

Last Name

KHAVKIN

Business Name

YEVGENIY A KHAVKIN

Original Issue Date

07/24/2006

Effective Date

08/21/2008

Expiration Date

07/31/2011

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011