DEJAN MAKSIMOVIC DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053687

License Status

EXPIRED

Business

First Name

DEJAN

Last Name

MAKSIMOVIC

Suffix

Business Name

DEJAN MAKSIMOVIC DO

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

PEORIA

State

Zip

61602

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/08/2010