ANTHONY MILES ARCHER DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059027

License Status

CANCELLED

Business

Title

First Name

ANTHONY

Middle

MILES

Last Name

ARCHER

Business Name

ANTHONY MILES ARCHER DO

Original Issue Date

05/01/2011

Effective Date

05/01/2011

Expiration Date

04/30/2014

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

03/10/2011