KATERYNA SERGIYIVNA IVANOVA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

ACTIVE

Business

Title

First Name

KATERYNA

Middle

SERGIYIVNA

Last Name

IVANOVA

Business Name

KATERYNA SERGIYIVNA IVANOVA DO

Original Issue Date

09/22/2023

Effective Date

09/22/2023

Expiration Date

07/31/2026

City

DALLAS

State

Zip

75247

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/22/2023