ELSY ANTONY DEVASSY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063297

License Status

ACTIVE

Business

First Name

ELSY ANTONY

Last Name

DEVASSY

Suffix

Business Name

ELSY ANTONY DEVASSY MD

Original Issue Date

09/24/1981

Effective Date

06/26/2023

Expiration Date

07/31/2026

City

LOCKPORT

State

Zip

60441

County

WILL

Ever Disciplined

LastModifiedDate

06/26/2023