DAN MICHAEL HECIMOVICH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050323

License Status

CANCELLED

Business

First Name

DAN

Middle

MICHAEL

Last Name

HECIMOVICH

Suffix

Business Name

DAN MICHAEL HECIMOVICH MD

Original Issue Date

06/25/2005

Effective Date

06/25/2005

Expiration Date

06/24/2008

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006