DAVID P AGBUNAG - Physician Assistant License in Illinois | # 085002886

DAVID P AGBUNAG

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002886

License Status

NOT RENEWED

Business

N

First Name

DAVID

Middle

P

Last Name

AGBUNAG

Business Name

DAVID P AGBUNAG

Original Issue Date

11/06/2006

Effective Date

12/14/2007

Expiration Date

03/01/2010

State

IL

Ever Disciplined

N

LastModifiedDate

09/22/2010