TAMARA DJURISIC Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

NOT RENEWED

Business

First Name

TAMARA

Last Name

DJURISIC

Business Name

TAMARA DJURISIC

Original Issue Date

07/09/2003

Effective Date

04/12/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60641

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014