KRYSTSINA DZMITRUKOVA - Physician Assistant License in Illinois | # 085005817

KRYSTSINA DZMITRUKOVA

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005817

License Status

NOT RENEWED

Business

N

First Name

KRYSTSINA

Last Name

DZMITRUKOVA

Business Name

KRYSTSINA DZMITRUKOVA

Original Issue Date

04/25/2016

Effective Date

02/26/2018

Expiration Date

03/01/2020

State

IL

Ever Disciplined

N

LastModifiedDate

11/24/2020