SVITLANA NIKOIAYEVNA ANTONOVA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

NOT RENEWED

Business

Title

First Name

SVITLANA

Middle

NIKOIAYEVNA

Last Name

ANTONOVA

Business Name

SVITLANA NIKOIAYEVNA ANTONOVA MD

Original Issue Date

11/07/2008

Effective Date

06/01/2011

Expiration Date

07/31/2014

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014