LARA MARIA DAVIS - Physician Assistant License in Illinois | # 085001875

LARA MARIA DAVIS

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001875

License Status

NOT RENEWED

Business

N

First Name

LARA

Middle

MARIA

Last Name

DAVIS

Business Name

LARA MARIA DAVIS

Original Issue Date

09/24/2002

Effective Date

12/14/2007

Expiration Date

03/01/2010

State

IL

Ever Disciplined

N

LastModifiedDate

04/01/2010