PAUL A CONTI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034040

License Status

CANCELLED

Business

First Name

PAUL A

Last Name

CONTI

Suffix

Business Name

PAUL A CONTI MD

Original Issue Date

04/20/1996

Effective Date

04/20/1996

Expiration Date

06/30/1999

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

09/22/2006