ANTONINA CALLAHAN - Medical Doctor License in Illinois | # 125072499

ANTONINA CALLAHAN

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072499

License Status

EXPIRED

Business

N

First Name

ANTONINA

Last Name

CALLAHAN

Business Name

ANTONINA CALLAHAN

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

10/11/2022