PETER T IVANOVICH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047283

License Status

NOT RENEWED

Business

First Name

PETER

Middle

Last Name

IVANOVICH

Suffix

Business Name

PETER T IVANOVICH MD

Original Issue Date

04/23/1973

Effective Date

06/22/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021