NATHALIE ANTONIOS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073167

License Status

CANCELLED

Business

Title

First Name

NATHALIE

Last Name

ANTONIOS

Business Name

NATHALIE ANTONIOS MD

Original Issue Date

06/22/2018

Effective Date

06/22/2018

Expiration Date

06/21/2021

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/06/2018