ALPHONSA C ANTONY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063900

License Status

NOT RENEWED

Business

First Name

ALPHONSA C

Last Name

ANTONY

Suffix

Business Name

ALPHONSA C ANTONY MD

Original Issue Date

02/10/1982

Effective Date

02/10/1982

Expiration Date

07/31/2005

City

EVERGREEN PARK

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006