STEPHEN J ANTONIK - Medical Doctor License in Illinois | # 125044274

STEPHEN J ANTONIK

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044274

License Status

EXPIRED

Business

N

First Name

STEPHEN

Middle

J

Last Name

ANTONIK

Business Name

STEPHEN J ANTONIK

Original Issue Date

06/18/2002

Effective Date

06/18/2002

Expiration Date

06/17/2005

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006