LIDIJA KOTOWSKY - Physician Assistant License in Illinois | # 085001628

LIDIJA KOTOWSKY

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001628

License Status

NOT RENEWED

Business

N

First Name

LIDIJA

Last Name

KOTOWSKY

Business Name

LIDIJA KOTOWSKY

Original Issue Date

08/27/2001

Effective Date

08/27/2001

Expiration Date

03/01/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006