SIOELI FIATAU FUIMAONO - Physician Assistant License in Illinois | # 085001416

SIOELI FIATAU FUIMAONO

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001416

License Status

NOT RENEWED

Business

N

First Name

SIOELI

Middle

FIATAU

Last Name

FUIMAONO

Business Name

SIOELI FIATAU FUIMAONO

Original Issue Date

07/18/2000

Effective Date

07/18/2000

Expiration Date

03/01/2006

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006