INGRID C ANTONSEN MD
Licensed Physician Controlled Substance
Illinois 336040769 Active
This Illinois license is held by INGRID C ANTONSEN MD. The license is currently active. It was granted on 09/26/1988 and expired on 07/31/2017
LICENSE DETAILS
- License Number: 336040769
- Category: LICENSED PHYSICIAN CONTROLLED SUBSTANCE
- Status: Active
- Date Granted: 09/26/1988 (over 35 years ago)
- Expiry Date: 07/31/2017 (almost 7 years ago)
LOCATIONS
A Address
CHAMPAIGN, IL 61822
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