ALLISON A BUSUITO - Physician Assistant License in Illinois | # 085005635

ALLISON A BUSUITO

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005635

License Status

NOT RENEWED

Business

N

First Name

ALLISON

Middle

A

Last Name

BUSUITO

Business Name

ALLISON A BUSUITO

Original Issue Date

09/17/2015

Effective Date

02/09/2016

Expiration Date

03/01/2018

State

IL

Ever Disciplined

N

LastModifiedDate

05/10/2018