MARK ANTHONY SOFIA MD - Medical Doctor License in Illinois | # 125061452

MARK ANTHONY SOFIA MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061452

License Status

CANCELLED

Business

N

Title

MD

First Name

MARK

Middle

ANTHONY

Last Name

SOFIA

Business Name

MARK ANTHONY SOFIA MD

Original Issue Date

06/24/2012

Effective Date

06/24/2012

Expiration Date

06/23/2015

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

03/24/2014