TOMISLAV LAKIC MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043805

License Status

CANCELLED

Business

Title

First Name

TOMISLAV

Last Name

LAKIC

Business Name

TOMISLAV LAKIC MD

Original Issue Date

10/05/2001

Effective Date

10/05/2001

Expiration Date

10/04/2004

City

HINSDALE

State

Zip

60521

County

DUPAGE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006