JASON SEAN MENADUE PA-C - Physician Assistant License in Illinois | # 085002091

JASON SEAN MENADUE PA-C

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002091

License Status

NOT RENEWED

Business

N

First Name

JASON

Middle

SEAN

Last Name

MENADUE

Suffix

PA-C

Business Name

JASON SEAN MENADUE PA-C

Original Issue Date

09/22/2003

Effective Date

09/22/2003

Expiration Date

03/01/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006