MELISSA J ANTONIK - Medical Doctor License in Virginia | # 036114035

MELISSA J ANTONIK

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114035

License Status

NOT RENEWED

Business

N

First Name

MELISSA

Middle

J

Last Name

ANTONIK

Business Name

MELISSA J ANTONIK

Original Issue Date

06/28/2005

Effective Date

05/23/2008

Expiration Date

07/31/2011

State

VA

Ever Disciplined

N

LastModifiedDate

11/14/2011