DANA BOSKOVICH TASIC MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046628

License Status

EXPIRED

Business

First Name

DANA

Last Name

BOSKOVICH TASIC

Suffix

Business Name

DANA BOSKOVICH TASIC MD

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

06/30/2005

City

EVANSTON

State

Zip

60201

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006