SVITLANA NIKOIAYEVNA ANTONOVA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052170

License Status

CANCELLED

Business

Title

First Name

SVITLANA

Middle

NIKOIAYEVNA

Last Name

ANTONOVA

Business Name

SVITLANA NIKOIAYEVNA ANTONOVA MD

Original Issue Date

08/10/2006

Effective Date

08/10/2006

Expiration Date

08/09/2009

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/08/2008