MATEO VITUMIR JURASIC MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047608

License Status

EXPIRED

Business

First Name

MATEO

Middle

VITUMIR

Last Name

JURASIC

Suffix

Business Name

MATEO VITUMIR JURASIC MD

Original Issue Date

06/15/2004

Effective Date

06/15/2004

Expiration Date

06/14/2005

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006