SINISA M PRINCEVAC MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049181

License Status

NOT RENEWED

Business

First Name

SINISA M

Last Name

PRINCEVAC

Suffix

Business Name

SINISA M PRINCEVAC MD

Original Issue Date

05/03/1974

Effective Date

05/03/1974

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

03/24/2007

Case Number

1978000010

Action

Revocation

Discipline Start Date

07/29/1980