DAMARIS A AGE - Physician Assistant License in Illinois | # 085004462

DAMARIS A AGE

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004462

License Status

NOT RENEWED

Business

N

First Name

DAMARIS

Middle

A

Last Name

AGE

Business Name

DAMARIS A AGE

Original Issue Date

09/21/2012

Effective Date

03/01/2016

Expiration Date

03/01/2018

State

IL

Ever Disciplined

N

LastModifiedDate

05/10/2018