ALPHONSA C ANTONY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

First Name

ALPHONSA C

Last Name

ANTONY

Suffix

Business Name

ALPHONSA C ANTONY MD

Original Issue Date

03/25/1983

Effective Date

03/25/1983

Expiration Date

07/31/2005

City

EVERGREEN PARK

State

Zip

60642

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006