THOMAS J BACEVICH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

First Name

THOMAS J

Last Name

BACEVICH

Suffix

Business Name

THOMAS J BACEVICH MD

Original Issue Date

09/13/1984

Effective Date

09/13/1984

Expiration Date

07/31/1987

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006