DANA MARIE FIELDS - Physician Assistant License in Illinois | # 085003403

DANA MARIE FIELDS

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003403

License Status

NOT RENEWED

Business

N

First Name

DANA

Middle

MARIE

Last Name

FIELDS

Business Name

DANA MARIE FIELDS

Original Issue Date

01/06/2009

Effective Date

03/01/2010

Expiration Date

03/01/2012

State

IL

Ever Disciplined

N

LastModifiedDate

04/11/2012