NATASHA BRASIC - Medical Doctor License in Illinois | # 125047310

NATASHA BRASIC

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047310

License Status

EXPIRED

Business

N

First Name

NATASHA

Last Name

BRASIC

Business Name

NATASHA BRASIC

Original Issue Date

06/24/2004

Effective Date

06/24/2004

Expiration Date

06/14/2005

State

IL

Ever Disciplined

N

LastModifiedDate

09/22/2006