PHILIP DAVID EDDY - Physician Assistant License in Illinois | # 085000025

PHILIP DAVID EDDY

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000025

License Status

NOT RENEWED

Business

N

First Name

PHILIP DAVID

Last Name

EDDY

Business Name

PHILIP DAVID EDDY

Original Issue Date

11/15/1980

Effective Date

11/15/1980

Expiration Date

11/15/1982

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2006