GORAN D ANTIC - Medical Doctor License in Illinois | # 125037202

GORAN D ANTIC

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037202

License Status

EXPIRED

Business

N

First Name

GORAN

Middle

D

Last Name

ANTIC

Business Name

GORAN D ANTIC

Original Issue Date

08/14/1997

Effective Date

08/14/1997

Expiration Date

08/14/2000

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006