PAULINE A FEDUNOK - Physician Assistant License in Illinois | # 085001926

PAULINE A FEDUNOK

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001926

License Status

NOT RENEWED

Business

N

First Name

PAULINE

Middle

A

Last Name

FEDUNOK

Business Name

PAULINE A FEDUNOK

Original Issue Date

10/31/2002

Effective Date

02/23/2012

Expiration Date

03/01/2014

State

IL

Ever Disciplined

N

LastModifiedDate

04/08/2014