ELSY ANTONY DEVASSY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

First Name

ELSY ANTONY

Last Name

DEVASSY

Suffix

Business Name

ELSY ANTONY DEVASSY MD

Original Issue Date

03/22/1990

Effective Date

04/05/2011

Expiration Date

07/31/2014

City

CREST HILL

State

Zip

60403

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020