NIKOLAS J ANTONIOU MD - Medical Doctor License in Illinois | # 125035184

NIKOLAS J ANTONIOU MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035184

License Status

EXPIRED

Business

N

Title

MD

First Name

NIKOLAS

Middle

J

Last Name

ANTONIOU

Business Name

NIKOLAS J ANTONIOU MD

Original Issue Date

06/20/1996

Effective Date

06/20/1996

Expiration Date

06/30/1999

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006