LAISVYDE SMAJKIC Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042153

License Status

EXPIRED

Business

First Name

LAISVYDE

Last Name

SMAJKIC

Business Name

LAISVYDE SMAJKIC

Original Issue Date

08/17/2000

Effective Date

08/17/2000

Expiration Date

12/04/2005

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Immunotherapy

Ever Disciplined

LastModifiedDate

09/22/2006