VICTOR DOMINIC ANTONACCI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105867

License Status

NOT RENEWED

Business

First Name

VICTOR

Middle

DOMINIC

Last Name

ANTONACCI

Suffix

Business Name

VICTOR DOMINIC ANTONACCI MD

Original Issue Date

11/20/2001

Effective Date

09/30/2020

Expiration Date

07/31/2023

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/30/2023