MIGUEL ANTONATOS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

ACTIVE

Business

Title

First Name

MIGUEL

Last Name

ANTONATOS

Business Name

MIGUEL ANTONATOS MD

Original Issue Date

07/31/2015

Effective Date

04/05/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60630

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/24/2023