Delaware
Division of Professional Regulation
Gennadiy V. Ivanov
Controlled Substances - Physician Csr
License number
DR-0007787
Date granted
11/22/2010
Date expires
06/30/2011
Class
Controlled Substances - Physician Csr
Status
Lapsed
Address
Elkton MD 21921
delawarelicensing.com
ID 20539442
LAST UPDATED 2024-05-02 08:27:38 UTC
LAST UPDATED 2024-05-02 08:27:38 UTC
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