TATJANA ANTIC MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047061

License Status

EXPIRED

Business

First Name

TATJANA

Last Name

ANTIC

Suffix

Business Name

TATJANA ANTIC MD

Original Issue Date

07/31/2003

Effective Date

07/31/2003

Expiration Date

07/30/2006

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/22/2006