SHALYN M VANDERBLOEMEN - Physician Assistant License in Illinois | # 085003486

SHALYN M VANDERBLOEMEN

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003486

License Status

NOT RENEWED

Business

N

First Name

SHALYN

Middle

M

Last Name

VANDERBLOEMEN

Business Name

SHALYN M VANDERBLOEMEN

Original Issue Date

06/30/2009

Effective Date

01/14/2020

Expiration Date

03/01/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022