ZLATA JANICIJEVIC Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002013

License Status

NOT RENEWED

Business

First Name

ZLATA

Last Name

JANICIJEVIC

Business Name

ZLATA JANICIJEVIC

Original Issue Date

06/13/2003

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

11/18/2010