ANTONI J GOFRON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031549

License Status

EXPIRED

Business

First Name

ANTONI J

Last Name

GOFRON

Suffix

Business Name

ANTONI J GOFRON MD

Original Issue Date

05/26/1994

Effective Date

05/26/1994

Expiration Date

06/21/1997

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006