ANITA CARMEN RETA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078663

License Status

CANCELLED

Business

Title

First Name

ANITA

Middle

CARMEN

Last Name

RETA

Business Name

ANITA CARMEN RETA MD

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

09/15/2024

City

ADDISON

State

Zip

60101

County

DUPAGE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

01/09/2025