CAMILA ANTIA MD - Medical Doctor License in Illinois | # 125074437

CAMILA ANTIA MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074437

License Status

CANCELLED

Business

N

Title

MD

First Name

CAMILA

Last Name

ANTIA

Business Name

CAMILA ANTIA MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

State

IL

Specialty/Qualifier

Dermatology

Ever Disciplined

N

LastModifiedDate

05/17/2019