PAVEL ANTONOV MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154722

License Status

NOT RENEWED

Business

Title

First Name

PAVEL

Last Name

ANTONOV

Business Name

PAVEL ANTONOV MD

Original Issue Date

11/10/2020

Effective Date

11/10/2020

Expiration Date

07/31/2023

City

PARIS

State

Zip

61944

County

EDGAR

Ever Disciplined

LastModifiedDate

11/30/2023