NEDUVELIL A ANTONY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047377

License Status

NOT RENEWED

Business

First Name

NEDUVELIL A

Last Name

ANTONY

Suffix

Business Name

NEDUVELIL A ANTONY MD

Original Issue Date

06/05/1973

Effective Date

04/21/2014

Expiration Date

07/31/2017

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

11/01/2017