ANTONIO MARRA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038919

License Status

NOT RENEWED

Business

First Name

ANTONIO

Last Name

MARRA

Suffix

Business Name

ANTONIO MARRA MD

Original Issue Date

02/14/1964

Effective Date

04/28/2014

Expiration Date

07/31/2017

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017