MOLLY PROSKINE ANTONIOLLI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

ACTIVE

Business

Title

First Name

MOLLY

Middle

PROSKINE

Last Name

ANTONIOLLI

Business Name

MOLLY PROSKINE ANTONIOLLI MD

Original Issue Date

06/30/2015

Effective Date

06/17/2023

Expiration Date

07/31/2026

City

NORTHFIELD

State

Zip

60093

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/17/2023