ANTON A GARAZHA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075871

License Status

EXPIRED

Business

Title

First Name

ANTON

Middle

Last Name

GARAZHA

Prefix

Business Name

ANTON A GARAZHA MD

Original Issue Date

06/26/2023

Effective Date

06/26/2023

Expiration Date

06/25/2025

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

11/03/2025