GORAN TUBIC MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045366

License Status

CANCELLED

Business

First Name

GORAN

Last Name

TUBIC

Suffix

Business Name

GORAN TUBIC MD

Original Issue Date

08/01/2002

Effective Date

08/01/2002

Expiration Date

07/31/2006

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006