TOMISLAV LAKIC MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

ACTIVE

Business

Title

First Name

TOMISLAV

Last Name

LAKIC

Business Name

TOMISLAV LAKIC MD

Original Issue Date

03/05/2004

Effective Date

06/14/2023

Expiration Date

07/31/2026

City

EUREKA

State

Zip

61530

County

WOODFORD

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/14/2023