ANTOINE GERGI DACCACHE Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114751

License Status

ACTIVE

Business

First Name

ANTOINE

Middle

GERGI

Last Name

DACCACHE

Business Name

ANTOINE GERGI DACCACHE

Original Issue Date

10/17/2005

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61637

County

PEORIA

Ever Disciplined

LastModifiedDate

04/13/2023