ZLATA JANICIJEVIC Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****10

License Status

NOT RENEWED

Business

First Name

ZLATA

Last Name

JANICIJEVIC

Business Name

ZLATA JANICIJEVIC

Original Issue Date

08/07/2007

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

11/18/2010