PHILIP G GEORGEVICH Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023011

License Status

EXPIRED

Business

First Name

PHILIP

Middle

Last Name

GEORGEVICH

Business Name

PHILIP G GEORGEVICH

Original Issue Date

07/11/1988

Effective Date

07/11/1988

Expiration Date

07/01/1991

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006