ANTONELLA QUATTROMANI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

ANTONELLA

Last Name

QUATTROMANI

Suffix

Business Name

ANTONELLA QUATTROMANI MD

Original Issue Date

07/29/1996

Effective Date

07/29/1996

Expiration Date

07/31/2005

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006