MARK A ANTONACCI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100710

License Status

ACTIVE

Business

Title

First Name

MARK

Middle

Last Name

ANTONACCI

Business Name

MARK A ANTONACCI MD

Original Issue Date

07/16/1999

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

SAN ANTONIO

State

Zip

78260

Ever Disciplined

LastModifiedDate

04/08/2023