EKATERINA KOSTIOUKHINA
License Number: ME130051
Data As Of 6/22/2024
| Profession | Medical Doctor |
|---|---|
| License | ME130051 |
| License Status | DELINQUENT/ |
| License Expiration Date | 1/31/2023 |
| License Original Issue Date | 10/06/2016 |
| Address of Record | 801 2350 NW 33rd St Apt 801 |
| OAKLAND PARK, FL 33309 | |
| Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain) | No |
| Discipline on File | No |
| Public Complaint | No |
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