YURI VALERIEVICH KHODAKOV MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102306

License Status

NOT RENEWED

Business

First Name

YURI

Middle

VALERIEVICH

Last Name

KHODAKOV

Suffix

Business Name

YURI VALERIEVICH KHODAKOV MD

Original Issue Date

04/10/2000

Effective Date

04/22/2014

Expiration Date

07/31/2017

City

OGDEN

State

Zip

84403

County

UTAH

Ever Disciplined

LastModifiedDate

11/01/2017