ANITA T AVILA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045145

License Status

NOT RENEWED

Business

First Name

ANITA

Middle

Last Name

AVILA

Suffix

Business Name

ANITA T AVILA MD

Original Issue Date

02/04/1972

Effective Date

04/29/2014

Expiration Date

07/31/2017

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

11/01/2017