ANDREW Y GERMANOVICH DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054194

License Status

CANCELLED

Business

Title

First Name

ANDREW

Middle

Last Name

GERMANOVICH

Business Name

ANDREW Y GERMANOVICH DO

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2011

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

04/08/2009