ALEX SEVRUKOV MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

CANCELLED

Business

First Name

ALEX

Last Name

SEVRUKOV

Suffix

Business Name

ALEX SEVRUKOV MD

Original Issue Date

04/16/2009

Effective Date

04/16/2009

Expiration Date

07/31/2011

City

BRENTWOOD

State

Zip

63144

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

04/07/2011