GORAN D ANTIC Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101600

License Status

INACTIVE

Business

First Name

GORAN

Middle

Last Name

ANTIC

Business Name

GORAN D ANTIC

Original Issue Date

11/10/1999

Effective Date

11/10/1999

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006