MICHAEL V CRISTOFANO - Physician Assistant License in Illinois | # 085000640

MICHAEL V CRISTOFANO

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000640

License Status

NOT RENEWED

Business

N

First Name

MICHAEL

Middle

V

Last Name

CRISTOFANO

Business Name

MICHAEL V CRISTOFANO

Original Issue Date

12/19/1994

Effective Date

03/03/2020

Expiration Date

03/01/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022