ILYA M AVERBUCH MD Medical Doctor License verification

Business Entity

INOPERATIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

INOPERATIVE

Business

First Name

ILYA M

Last Name

AVERBUCH

Suffix

Business Name

ILYA M AVERBUCH MD

Original Issue Date

11/29/2012

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

PHILADELPHA

State

Zip

19115

County

LA SALLE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/09/2023