MARYANN BERTUSO - Physician Assistant License in Illinois | # 085001116

MARYANN BERTUSO

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001116

License Status

NOT RENEWED

Business

N

First Name

MARYANN

Last Name

BERTUSO

Business Name

MARYANN BERTUSO

Original Issue Date

01/11/1999

Effective Date

03/11/2022

Expiration Date

03/01/2024

State

IL

Ever Disciplined

N

LastModifiedDate

02/05/2025