MARIYA O POGORELOVA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

NOT RENEWED

Business

First Name

MARIYA

Middle

Last Name

POGORELOVA

Suffix

Business Name

MARIYA O POGORELOVA MD

Original Issue Date

04/05/2007

Effective Date

04/05/2007

Expiration Date

07/31/2008

City

MADISON

State

Zip

53711

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008