DEJAN MICIC MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132320

License Status

ACTIVE

Business

Title

First Name

DEJAN

Last Name

MICIC

Business Name

DEJAN MICIC MD

Original Issue Date

04/09/2013

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

04/06/2023