RICHARD LOUIS CANTLEY MD - Medical Doctor License in Illinois | # 125055143

RICHARD LOUIS CANTLEY MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055143

License Status

CANCELLED

Business

N

Title

MD

First Name

RICHARD

Middle

LOUIS

Last Name

CANTLEY

Business Name

RICHARD LOUIS CANTLEY MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2012

State

IL

Specialty/Qualifier

Pathology

Ever Disciplined

N

LastModifiedDate

04/26/2011