ILIJAS GUSMIROVIC DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

ACTIVE

Business

Title

First Name

ILIJAS

Last Name

GUSMIROVIC

Business Name

ILIJAS GUSMIROVIC DO

Original Issue Date

06/17/2014

Effective Date

08/25/2024

Expiration Date

07/31/2026

City

MARYVILLE

State

Zip

62062

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017