ILYA BUNIMOVICH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008307

License Status

NOT RENEWED

Business

First Name

ILYA

Last Name

BUNIMOVICH

Business Name

ILYA BUNIMOVICH

Original Issue Date

05/23/2021

Effective Date

05/23/2021

Expiration Date

03/01/2022

City

SAINT LOUIS

State

Zip

63146

Ever Disciplined

LastModifiedDate

07/27/2022