TORIN W KARSONOVICH DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068626

License Status

CANCELLED

Business

Title

First Name

TORIN

Middle

Last Name

KARSONOVICH

Business Name

TORIN W KARSONOVICH DO

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

City

NORMAL

State

Zip

61761

County

MCLEAN

Specialty/Qualifier

Neurological Surgery

Ever Disciplined

LastModifiedDate

05/23/2016