ROBERTA ELLEN FRICK - Physician Assistant License in Illinois | # 085000103

ROBERTA ELLEN FRICK

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000103

License Status

NOT RENEWED

Business

N

First Name

ROBERTA ELLEN

Last Name

FRICK

Business Name

ROBERTA ELLEN FRICK

Original Issue Date

01/25/1977

Effective Date

01/25/1977

Expiration Date

01/25/1979

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2006