IVANA LAZICH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054126

License Status

CANCELLED

Business

Title

First Name

IVANA

Last Name

LAZICH

Business Name

IVANA LAZICH MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/29/2010

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/21/2009