SVITLANA NIKOIAYEVNA ANTONOVA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122173

License Status

NOT RENEWED

Business

Title

First Name

SVITLANA

Middle

NIKOIAYEVNA

Last Name

ANTONOVA

Business Name

SVITLANA NIKOIAYEVNA ANTONOVA MD

Original Issue Date

11/05/2008

Effective Date

06/01/2011

Expiration Date

07/31/2014

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/17/2014