JERRY M ANTONINI MD - Medical Doctor License in Illinois | # 125042128

JERRY M ANTONINI MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042128

License Status

EXPIRED

Business

N

Title

MD

First Name

JERRY

Middle

M

Last Name

ANTONINI

Business Name

JERRY M ANTONINI MD

Original Issue Date

08/14/2000

Effective Date

08/14/2000

Expiration Date

08/13/2003

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006