MICHAEL S ANTONIS DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110394

License Status

INACTIVE

Business

First Name

MICHAEL

Middle

Last Name

ANTONIS

Suffix

Business Name

MICHAEL S ANTONIS DO

Original Issue Date

11/03/2003

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

ALEXANDRIA

State

Zip

22305

Ever Disciplined

LastModifiedDate

04/28/2008