The indictment is the starkest revelation of the extent of organized crime in the country since Kosovo declared independence in 2008.

Five Kosovo nationals, including Ilir Rrecaj, a former senior health ministry official, have been charged with five counts, ranging from trafficking in persons to unlawful exercise of medical activity and abuse of power. None of the suspects are in custody.

Moshe Harel, an Israeli citizen, and Turkish doctor Yusuf Sonmez - are listed as wanted by Interpol. Sonmez is the subject of several criminal proceedings in other countries, including Turkey, for human trafficking and removal of organs, according to the indictment.

Both Sonmez and Harel are fugitive from justice, the indictment said.

Two other doctors, Israeli national Zaki Shapira and Turkish national Kenan Demirkol are identified in the 46-page document as unindicted co-conspirators.

The organized criminal group trafficked people into Kosovo for the purpose of removing human organs for transplant, EU prosecutor Jonathan Ratel said in the indictment. "Some 20 foreign nationals were recruited with false promises of payments in 2008," he wrote.

Victims were promised up to $20,000 (14,500 euros), while recipients were required to pay between 80,000 and 100,000 euros ($110,000-$137,000).

According to the indictment obtained by the AP on Thursday, the victims came from Moldova, Kazakhstan, Russia and Turkey and lived in extreme poverty or acute financial distress.

The EU prosecution has made requests to secure evidence from authorities in Canada, Germany, Kazakhstan and Turkey, including access to e-mails of two suspects on servers in the United States.

The prosecution alleges that one of the five, Kosovo surgeon Lutfi Dervishi was the ringleader of the criminal group. It said Dervishi attended a medical conference in Istanbul in 2006 and asked for someone who could perform organ transplants. He was contacted by Sonmez six months later.

Dervishi and Sonmez then carried out the operations in the private medical clinic Medicus, managed by Dervishi's son, Arban Dervishi, who is also indicted. Harel was involved in identifying, recruiting and transporting victims and ensuring the delivery of cash payments by electronic bank transfer prior to surgery, the indictment said. Two other doctors, Sokol Hajdini and Driton Jilta are also indicted.

Kosovo law forbids the removal and transplant of organs.

In 2008 investigators closed down the private health clinic where the doctors worked as part of the initial investigation. Kosovo police launched a raid triggered by suspicions that a Turkish man had sold his kidney to an Israeli recipient after he appeared fatigued at Pristina airport trying to board a flight to Turkey.

The man, identified in the indictment as Yilman Altun, told Kosovo police at the airport he came to the Balkan country to donate his kidney on invitation from the private clinics. A doctor found Altun was not in good medical condition, and sent him to the Pristina hospital for treatment.

When police searched the clinic in November 2008 they found an Israeli citizen in postoperative care, according to the indictment. Police seized medical records and supplies.

Rrecaj was fired from his governmental post after the raids and the suspects were arrested on Nov. 4, 2008. They denied all accusations and were released after 30 days in detention.

Soon after the raid, the Belgrade-based daily newspaper Blic alleged that Dervishi was linked to allegations that members of the Kosovo Liberation Army kidnapped Serb civilians and killed them for their organs, which they later sold.

The allegations of the trade stemmed from a book by former U.N. War Crimes tribunal prosecutor Carla Del Ponte who claimed that organ harvesting took place in Albania's remote north. Subsequent investigations did not substantiate the claims.

The indictment has been filed in a local court, according to EU officials who asked to remain anonymous due to the sensitivity of the case. The officials said the prosecution can still add he names of other suspects to the indictment and details of their alleged crimes. A preliminary hearing is expected to be held by the end of the month, officials said.