ANDREW DOMINIC SCALA - Physician Assistant License in Illinois | # 085000075

ANDREW DOMINIC SCALA

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000075

License Status

NOT RENEWED

Business

N

First Name

ANDREW DOMINIC

Last Name

SCALA

Business Name

ANDREW DOMINIC SCALA

Original Issue Date

11/05/1976

Effective Date

11/05/1976

Expiration Date

11/05/1978

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2006