NICHOLAS JOHN ANTOS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053042

License Status

EXPIRED

Business

Title

First Name

NICHOLAS

Middle

JOHN

Last Name

ANTOS

Business Name

NICHOLAS JOHN ANTOS MD

Original Issue Date

06/28/2007

Effective Date

06/28/2007

Expiration Date

06/27/2010

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

07/08/2010