KATERYNA SERGEEV Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****05

License Status

INOPERATIVE

Business

First Name

KATERYNA

Last Name

SERGEEV

Business Name

KATERYNA SERGEEV

Original Issue Date

12/08/2018

Effective Date

12/08/2018

Expiration Date

03/01/2020

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

02/21/2020