JILL L DAVIS - Physician Assistant License in Illinois | # 085002554

JILL L DAVIS

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002554

License Status

NOT RENEWED

Business

N

First Name

JILL

Middle

L

Last Name

DAVIS

Business Name

JILL L DAVIS

Original Issue Date

09/01/2005

Effective Date

02/02/2016

Expiration Date

03/01/2018

State

IL

Ever Disciplined

N

LastModifiedDate

05/10/2018