DANA BOSKOVICH TASIC MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

ACTIVE

Business

First Name

DANA

Last Name

BOSKOVICH TASIC

Suffix

Business Name

DANA BOSKOVICH TASIC MD

Original Issue Date

09/26/2016

Effective Date

06/15/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/15/2023