NIKOLA IVANCEVIC DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000316

License Status

EXPIRED

Business

First Name

NIKOLA

Last Name

IVANCEVIC

Suffix

DPM

Business Name

NIKOLA IVANCEVIC DPM

Original Issue Date

07/31/1996

Effective Date

07/31/1996

Expiration Date

06/30/1997

City

WILLOWBROOK

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/25/2006