KATHLEEN MARIE ANTONY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036155947

License Status

NOT RENEWED

Business

Title

First Name

KATHLEEN

Middle

MARIE

Last Name

ANTONY

Business Name

KATHLEEN MARIE ANTONY MD

Original Issue Date

03/08/2021

Effective Date

03/08/2021

Expiration Date

07/31/2023

City

FITCHBURG

State

Zip

53711

Ever Disciplined

LastModifiedDate

11/30/2023