DONALD A JURIVICH DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125015053

License Status

EXPIRED

Business

First Name

DONALD

Middle

Last Name

JURIVICH

Suffix

Business Name

DONALD A JURIVICH DO

Original Issue Date

10/18/1982

Effective Date

10/18/1982

Expiration Date

10/14/1984

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006