TRICIA M MANALASTAS - Physician Assistant License in Illinois | # 085001801

TRICIA M MANALASTAS

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001801

License Status

NOT RENEWED

Business

N

First Name

TRICIA

Middle

M

Last Name

MANALASTAS

Business Name

TRICIA M MANALASTAS

Original Issue Date

06/28/2002

Effective Date

06/28/2002

Expiration Date

03/01/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006