GEORGE X DE LA VEGA PA-C - Physician Assistant License in Illinois | # 085000794

GEORGE X DE LA VEGA PA-C

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000794

License Status

NOT RENEWED

Business

N

First Name

GEORGE

Middle

X

Last Name

DE LA VEGA

Suffix

PA-C

Business Name

GEORGE X DE LA VEGA PA-C

Original Issue Date

03/30/1996

Effective Date

03/30/1996

Expiration Date

03/01/1998

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2006