DMITRY BOLKHOVETS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117637

License Status

INACTIVE

Business

First Name

DMITRY

Last Name

BOLKHOVETS

Suffix

Business Name

DMITRY BOLKHOVETS MD

Original Issue Date

02/15/2007

Effective Date

06/12/2017

Expiration Date

09/30/2020

City

EDEN PRAIRIE

State

Zip

55344

County

MINNESOTA

Ever Disciplined

LastModifiedDate

04/05/2020