VINCENT L ANTOSZ - Medical Doctor License in Illinois | # 125030496

VINCENT L ANTOSZ

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030496

License Status

EXPIRED

Business

N

First Name

VINCENT

Middle

L

Last Name

ANTOSZ

Business Name

VINCENT L ANTOSZ

Original Issue Date

06/28/1993

Effective Date

06/28/1993

Expiration Date

06/30/1994

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006