THOMAS J BACEVICH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069171

License Status

NOT RENEWED

Business

First Name

THOMAS J

Last Name

BACEVICH

Suffix

Business Name

THOMAS J BACEVICH MD

Original Issue Date

08/03/1984

Effective Date

08/03/1984

Expiration Date

07/31/1987

City

DES PLAINES

State

Zip

60018

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006