MELISSA J ANTONIK - Medical Doctor License in Illinois | # 125044283

MELISSA J ANTONIK

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044283

License Status

EXPIRED

Business

N

First Name

MELISSA

Middle

J

Last Name

ANTONIK

Business Name

MELISSA J ANTONIK

Original Issue Date

06/22/2002

Effective Date

06/22/2002

Expiration Date

06/21/2006

State

IL

Ever Disciplined

N

LastModifiedDate

09/22/2006