MAKSIM YURYEVICH KHAYZNIKOV MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

ACTIVE

Business

Title

First Name

MAKSIM

Middle

YURYEVICH

Last Name

KHAYZNIKOV

Business Name

MAKSIM YURYEVICH KHAYZNIKOV MD

Original Issue Date

12/07/2022

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

ALTOONA

State

Zip

16601

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/03/2023