MELISSA J ANTONIK Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114035

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

Last Name

ANTONIK

Business Name

MELISSA J ANTONIK

Original Issue Date

06/28/2005

Effective Date

05/23/2008

Expiration Date

07/31/2011

City

ASHBURN

State

Zip

20147

County

VIRGINIA

Ever Disciplined

LastModifiedDate

11/14/2011