JONTHAN M ANTHONY - Medical Doctor License in Illinois | # 125014768

JONTHAN M ANTHONY

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014768

License Status

EXPIRED

Business

N

First Name

JONTHAN

Middle

M

Last Name

ANTHONY

Business Name

JONTHAN M ANTHONY

Original Issue Date

07/14/1982

Effective Date

07/14/1982

Expiration Date

07/01/1984

State

IL

Specialty/Qualifier

Anesthesiology

Ever Disciplined

N

LastModifiedDate

09/22/2006