MEENA DAVE - Physician Assistant License in Illinois | # 085000914

MEENA DAVE

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000914

License Status

NOT RENEWED

Business

N

First Name

MEENA

Last Name

DAVE

Business Name

MEENA DAVE

Original Issue Date

05/09/1997

Effective Date

05/09/1997

Expiration Date

03/01/2000

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2006