ANDREW MICHAEL BELAVIC JR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019619

License Status

EXPIRED

Business

First Name

ANDREW MICHAEL

Last Name

BELAVIC JR

Suffix

Business Name

ANDREW MICHAEL BELAVIC JR MD

Original Issue Date

06/19/1986

Effective Date

06/19/1986

Expiration Date

07/01/1990

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006