ABIGAIL CAMPBELL DRAKE - Physician Assistant License in Illinois | # 085002790

ABIGAIL CAMPBELL DRAKE

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002790

License Status

NOT RENEWED

Business

N

First Name

ABIGAIL

Middle

CAMPBELL

Last Name

DRAKE

Business Name

ABIGAIL CAMPBELL DRAKE

Original Issue Date

08/18/2006

Effective Date

09/24/2010

Expiration Date

03/01/2012

State

IL

Ever Disciplined

N

LastModifiedDate

04/11/2012