MISO N MILOSLAVIC Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

First Name

MISO

Middle

Last Name

MILOSLAVIC

Business Name

MISO N MILOSLAVIC

Original Issue Date

06/06/2000

Effective Date

06/06/2000

Expiration Date

07/31/2005

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006