TONY NANTAVIT PIRA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127201

License Status

NOT RENEWED

Business

Title

First Name

TONY

Middle

NANTAVIT

Last Name

PIRA

Business Name

TONY NANTAVIT PIRA MD

Original Issue Date

02/16/2011

Effective Date

05/08/2014

Expiration Date

07/31/2017

City

VERNON HILLS

State

Zip

60061

County

LAKE

Ever Disciplined

LastModifiedDate

11/01/2017