JILL MARIE ANTONIAZZI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114265

License Status

NOT RENEWED

Business

First Name

JILL

Middle

MARIE

Last Name

ANTONIAZZI

Suffix

Business Name

JILL MARIE ANTONIAZZI MD

Original Issue Date

07/27/2005

Effective Date

06/18/2014

Expiration Date

07/31/2017

City

CHARLOTTE

State

Zip

28216

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

11/01/2017