RANAE DINA ARLENE ANTOINE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067522

License Status

CANCELLED

Business

Title

First Name

RANAE

Middle

DINA ARLENE

Last Name

ANTOINE

Business Name

RANAE DINA ARLENE ANTOINE MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2018

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/31/2017