JEFFREY WILLIAM LEWIS DENT - Physician Assistant License in Illinois | # 085002003

JEFFREY WILLIAM LEWIS DENT

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002003

License Status

NOT RENEWED

Business

N

First Name

JEFFREY WILLIAM

Middle

LEWIS

Last Name

DENT

Business Name

JEFFREY WILLIAM LEWIS DENT

Original Issue Date

04/22/2003

Effective Date

04/22/2003

Expiration Date

03/01/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006