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Physician Last Name: | Popovic | |||
Physician First Name: | Deyan | |||
Physician Middle Name: | N | |||
Address: | 250 West 90th Street New York, New York 10024 | |||
License Number: | 116338 | |||
License Type: | MD | |||
Year of Birth: | ||||
Effective Date: | 07/20/1994 | |||
Action Description for DOH Webpage: | License surrender | |||
Misconduct Description for DOH Webpage: | The physician admitted to having been disciplined by the Illinois Department of Professional Regulation for professional misconduct. | |||
License Limitations or Conditions for DOH Webpage: | ||||
Board Order: |
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