BOJAN D PETROVIC Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047304

License Status

EXPIRED

Business

First Name

BOJAN

Middle

Last Name

PETROVIC

Business Name

BOJAN D PETROVIC

Original Issue Date

06/15/2004

Effective Date

06/15/2004

Expiration Date

06/30/2007

City

EVANSTON

State

Zip

60201

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

07/03/2007