Medical Doctor
LICENSED PHYSICIAN AND SURGEON
036078459
NOT RENEWED
N
GORDANA
IVANOVIC
GORDANA IVANOVIC
09/07/1990
09/07/1990
07/31/2008
RIVER FOREST
IL
60305
COOK
Y
06/17/2008
2007003421
Revocation
06/17/2008
Failure to respond to Department's request for information within 60 days.