PETER B DRAGISIC MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026067

License Status

EXPIRED

Business

First Name

PETER

Middle

Last Name

DRAGISIC

Suffix

Business Name

PETER B DRAGISIC MD

Original Issue Date

11/20/1990

Effective Date

11/20/1990

Expiration Date

09/22/1995

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/03/2007

Case Number

1993003950

Action

Probation

Discipline Start Date

07/08/1993

Discipline End Date

08/01/1997