SHARLENA AMINTA PANICCIA - Physician Assistant License in Illinois | # 085001722

SHARLENA AMINTA PANICCIA

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001722

License Status

NOT RENEWED

Business

N

First Name

SHARLENA

Middle

AMINTA

Last Name

PANICCIA

Business Name

SHARLENA AMINTA PANICCIA

Original Issue Date

11/21/2001

Effective Date

11/21/2001

Expiration Date

03/01/2002

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006