IVAN ANTOSH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036162845

License Status

ACTIVE

Business

Title

First Name

IVAN

Last Name

ANTOSH

Business Name

IVAN ANTOSH MD

Original Issue Date

11/07/2022

Effective Date

06/01/2023

Expiration Date

07/31/2026

City

FORT SAM HOUSTON

State

Zip

78234

Ever Disciplined

LastModifiedDate

06/01/2023