POLINA VINNIK PETROVIC MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049066

License Status

CANCELLED

Business

First Name

POLINA

Middle

VINNIK

Last Name

PETROVIC

Suffix

Business Name

POLINA VINNIK PETROVIC MD

Original Issue Date

06/15/2005

Effective Date

06/15/2005

Expiration Date

06/30/2008

City

CHICAGO

State

Zip

60617

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006