ANTONIA JUSTINE NEMANICH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

ACTIVE

Business

Title

First Name

ANTONIA

Middle

JUSTINE

Last Name

NEMANICH

Business Name

ANTONIA JUSTINE NEMANICH MD

Original Issue Date

03/10/2020

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/10/2023