NICOLAS R STOYANOVICH DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001122

License Status

NOT RENEWED

Business

Title

First Name

NICOLAS

Middle

Last Name

STOYANOVICH

Business Name

NICOLAS R STOYANOVICH DO

Original Issue Date

09/26/2016

Effective Date

09/26/2016

Expiration Date

10/25/2016

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Geriatric Medicine

Ever Disciplined

LastModifiedDate

03/09/2017