DANIEL T IVANKOVICH Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033115

License Status

EXPIRED

Business

First Name

DANIEL

Middle

Last Name

IVANKOVICH

Business Name

DANIEL T IVANKOVICH

Original Issue Date

06/07/1995

Effective Date

06/07/1995

Expiration Date

09/10/2001

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006