NILGUN AYSE ANTMEN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

CANCELLED

Business

First Name

NILGUN

Middle

AYSE

Last Name

ANTMEN

Suffix

Business Name

NILGUN AYSE ANTMEN MD

Original Issue Date

04/12/2002

Effective Date

04/12/2002

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60610

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006