GORANA MICEVIC Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****70

License Status

ACTIVE

Business

First Name

GORANA

Last Name

MICEVIC

Business Name

GORANA MICEVIC

Original Issue Date

11/18/2020

Effective Date

02/08/2026

Expiration Date

03/01/2028

City

DU QUOIN

State

Zip

62832

County

PERRY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2026