STAN A ANTKOWIAK DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014082

License Status

EXPIRED

Business

First Name

STAN A

Last Name

ANTKOWIAK

Suffix

Business Name

STAN A ANTKOWIAK DO

Original Issue Date

06/17/1982

Effective Date

06/17/1982

Expiration Date

07/01/1984

City

EVANTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006