TOUCH ATIVITAVAS - Medical Doctor License in Illinois | # 125039970

TOUCH ATIVITAVAS

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039970

License Status

EXPIRED

Business

N

First Name

TOUCH

Last Name

ATIVITAVAS

Business Name

TOUCH ATIVITAVAS

Original Issue Date

07/01/1999

Effective Date

07/01/1999

Expiration Date

06/30/2002

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006