MARIA C ANTIQUE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096831

License Status

INACTIVE

Business

First Name

MARIA

Middle

Last Name

ANTIQUE

Suffix

Business Name

MARIA C ANTIQUE MD

Original Issue Date

10/10/1997

Effective Date

10/10/1997

Expiration Date

07/31/2002

City

PEORIA

State

Zip

61602

County

PEORIA

Ever Disciplined

LastModifiedDate

10/09/2006