MELISSA J ANTONIK Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044283

License Status

EXPIRED

Business

First Name

MELISSA

Middle

Last Name

ANTONIK

Business Name

MELISSA J ANTONIK

Original Issue Date

06/22/2002

Effective Date

06/22/2002

Expiration Date

06/21/2006

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006