ANGELA MARIE PROSISE - Physician Assistant License in Illinois | # 085002151

ANGELA MARIE PROSISE

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002151

License Status

NOT RENEWED

Business

N

First Name

ANGELA

Middle

MARIE

Last Name

PROSISE

Business Name

ANGELA MARIE PROSISE

Original Issue Date

10/23/2003

Effective Date

12/28/2011

Expiration Date

03/01/2014

State

IL

Ever Disciplined

N

LastModifiedDate

04/08/2014