ASSOYE T BELONY - Physician Assistant License in Illinois | # 085002357

ASSOYE T BELONY

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002357

License Status

NOT RENEWED

Business

N

First Name

ASSOYE

Middle

T

Last Name

BELONY

Business Name

ASSOYE T BELONY

Original Issue Date

09/29/2004

Effective Date

09/29/2004

Expiration Date

03/01/2008

State

IL

Ever Disciplined

N

LastModifiedDate

04/23/2008