IVANA LAZICH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125689

License Status

NOT RENEWED

Business

Title

First Name

IVANA

Last Name

LAZICH

Business Name

IVANA LAZICH MD

Original Issue Date

05/05/2010

Effective Date

05/02/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014