SANDRA MAMDOUH ELKHOULY - Physician Assistant License in Illinois | # 085002503

SANDRA MAMDOUH ELKHOULY

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002503

License Status

NOT RENEWED

Business

N

First Name

SANDRA

Middle

MAMDOUH

Last Name

ELKHOULY

Business Name

SANDRA MAMDOUH ELKHOULY

Original Issue Date

07/12/2005

Effective Date

11/15/2006

Expiration Date

03/01/2008

State

IL

Ever Disciplined

N

LastModifiedDate

04/23/2008