NATALIE S DESELEM - Physician Assistant License in Illinois | # 085001119

NATALIE S DESELEM

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001119

License Status

NOT RENEWED

Business

N

First Name

NATALIE

Middle

S

Last Name

DESELEM

Business Name

NATALIE S DESELEM

Original Issue Date

01/11/1999

Effective Date

01/11/1999

Expiration Date

03/01/2006

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006