LAQUITA C EDWARDS - Physician Assistant License in Illinois | # 085005371

LAQUITA C EDWARDS

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005371

License Status

NOT RENEWED

Business

N

First Name

LAQUITA

Middle

C

Last Name

EDWARDS

Business Name

LAQUITA C EDWARDS

Original Issue Date

12/26/2014

Effective Date

02/23/2018

Expiration Date

03/01/2020

State

IL

Ever Disciplined

N

LastModifiedDate

11/24/2020