MARY JO BANG - Physician Assistant License in Illinois | # 085000181

MARY JO BANG

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000181

License Status

NOT RENEWED

Business

N

First Name

MARY JO

Last Name

BANG

Business Name

MARY JO BANG

Original Issue Date

06/15/1980

Effective Date

06/15/1980

Expiration Date

03/01/1988

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2006