MICHAEL S ANTONIS DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****04

NOT RENEWED

N

MICHAEL

S

ANTONIS

DO

MICHAEL S ANTONIS DO

12/05/2003

12/05/2003

07/31/2008

OAK LAWN

IL

60453

COOK

II III IV V

N

11/06/2008