BRIAN DANIEL ANTONIANO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056200

License Status

EXPIRED

Business

First Name

BRIAN

Middle

DANIEL

Last Name

ANTONIANO

Suffix

Business Name

BRIAN DANIEL ANTONIANO MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2013

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

10/07/2013