ANGEL L DEJESUS - Physician Assistant License in Illinois | # 085000449

ANGEL L DEJESUS

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000449

License Status

NOT RENEWED

Business

N

First Name

ANGEL L

Last Name

DEJESUS

Business Name

ANGEL L DEJESUS

Original Issue Date

05/09/1991

Effective Date

05/09/1991

Expiration Date

03/01/1996

State

IL

Ever Disciplined

Y

LastModifiedDate

12/29/2011

Case Number

2011010565

Action

Revocation

Discipline Start Date

12/29/2011

Discipline Reason

due to conviction of a criminal act that requires registration under the Sex Offender Registration Act.