CAMILA ANTIA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074437

License Status

CANCELLED

Business

Title

First Name

CAMILA

Last Name

ANTIA

Business Name

CAMILA ANTIA MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

CHICAGO

State

Zip

60654

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

05/17/2019