TONY NANTAVIT PIRA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

Title

First Name

TONY

Middle

NANTAVIT

Last Name

PIRA

Business Name

TONY NANTAVIT PIRA MD

Original Issue Date

02/16/2011

Effective Date

06/06/2011

Expiration Date

07/31/2014

City

GLENVIEW

State

Zip

60026

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017