ANASTASSIA N AMARO - Medical Doctor License in Illinois | # 036111717

ANASTASSIA N AMARO

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111717

License Status

NOT RENEWED

Business

N

First Name

ANASTASSIA

Middle

N

Last Name

AMARO

Business Name

ANASTASSIA N AMARO

Original Issue Date

06/28/2004

Effective Date

06/28/2004

Expiration Date

07/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

04/06/2011