DRASHTI N ANTALA MD - Medical Doctor License in Illinois | # 125077069

DRASHTI N ANTALA MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077069

License Status

EXPIRED

Business

N

Title

MD

First Name

DRASHTI

Middle

N

Last Name

ANTALA

Business Name

DRASHTI N ANTALA MD

Original Issue Date

06/24/2020

Effective Date

06/24/2020

Expiration Date

06/23/2023

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

03/06/2024