MARC EDWARD DICKLIN - Physician Assistant License in Illinois | # 085001427

MARC EDWARD DICKLIN

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001427

License Status

NOT RENEWED

Business

N

First Name

MARC

Middle

EDWARD

Last Name

DICKLIN

Business Name

MARC EDWARD DICKLIN

Original Issue Date

09/28/2000

Effective Date

03/05/2014

Expiration Date

03/01/2016

State

IL

Ever Disciplined

N

LastModifiedDate

04/25/2016