AMY L BETANCOURT - Physician Assistant License in Illinois | # 085002039

AMY L BETANCOURT

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002039

License Status

NOT RENEWED

Business

N

First Name

AMY

Middle

L

Last Name

BETANCOURT

Business Name

AMY L BETANCOURT

Original Issue Date

08/05/2003

Effective Date

08/05/2003

Expiration Date

03/01/2006

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006