M COLLEEN CANAVAN - Physician Assistant License in Illinois | # 085000651

M COLLEEN CANAVAN

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000651

License Status

NOT RENEWED

Business

N

First Name

M

Middle

COLLEEN

Last Name

CANAVAN

Business Name

M COLLEEN CANAVAN

Original Issue Date

12/20/1994

Effective Date

02/22/2018

Expiration Date

03/01/2020

State

IL

Ever Disciplined

N

LastModifiedDate

11/24/2020