EVGENII ANTONOV MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079122

License Status

EXPIRED

Business

Title

First Name

EVGENII

Last Name

ANTONOV

Business Name

EVGENII ANTONOV MD

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

07/26/2024

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/30/2024