LAURA A DEBELAK - Physician Assistant License in Illinois | # 085000360

LAURA A DEBELAK

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000360

License Status

NOT RENEWED

Business

N

First Name

LAURA A

Last Name

DEBELAK

Business Name

LAURA A DEBELAK

Original Issue Date

11/11/1988

Effective Date

11/11/1988

Expiration Date

03/01/1996

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2006