MIRJANA PETROVICH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042317

License Status

NOT RENEWED

Business

First Name

MIRJANA

Last Name

PETROVICH

Suffix

Business Name

MIRJANA PETROVICH MD

Original Issue Date

01/30/1969

Effective Date

05/26/2011

Expiration Date

07/31/2014

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/17/2014