SANDRA VERA PAVIC DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107023

License Status

INACTIVE

Business

First Name

SANDRA

Middle

VERA

Last Name

PAVIC

Suffix

Business Name

SANDRA VERA PAVIC DO

Original Issue Date

05/20/2002

Effective Date

04/20/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60638

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2014