MILJEN JAGODIC MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130370

License Status

NOT RENEWED

Business

Title

First Name

MILJEN

Last Name

JAGODIC

Business Name

MILJEN JAGODIC MD

Original Issue Date

05/14/2012

Effective Date

05/19/2014

Expiration Date

07/31/2017

City

WEST MILWAUKEE

State

Zip

53214

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/01/2017