VESNA MICIC MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136281

License Status

NOT RENEWED

Business

Title

First Name

VESNA

Last Name

MICIC

Business Name

VESNA MICIC MD

Original Issue Date

08/18/2014

Effective Date

08/18/2014

Expiration Date

07/31/2017

City

NEW YORK

State

Zip

10025

Ever Disciplined

LastModifiedDate

07/27/2018