GORAN D ANTIC Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037202

License Status

EXPIRED

Business

First Name

GORAN

Middle

Last Name

ANTIC

Business Name

GORAN D ANTIC

Original Issue Date

08/14/1997

Effective Date

08/14/1997

Expiration Date

08/14/2000

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006