YEVGENY SHUHATOVICH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

NOT RENEWED

Business

Title

First Name

YEVGENY

Last Name

SHUHATOVICH

Business Name

YEVGENY SHUHATOVICH MD

Original Issue Date

03/29/2012

Effective Date

03/29/2012

Expiration Date

07/31/2014

City

NEW YORK

State

Zip

10021

County

NEW YORK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014