JANE H MAKSIMOVIC DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052622

License Status

CANCELLED

Business

Title

First Name

JANE

Middle

Last Name

MAKSIMOVIC

Business Name

JANE H MAKSIMOVIC DO

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

05/14/2007