SPOMENKA JERCINOVIC Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

NOT RENEWED

Business

First Name

SPOMENKA

Last Name

JERCINOVIC

Business Name

SPOMENKA JERCINOVIC

Original Issue Date

03/23/1989

Effective Date

03/23/1989

Expiration Date

07/31/1996

City

WILMINGTON

State

Zip

60481

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020