WATAN SANDY ABUAITA - Physician Assistant License in Illinois | # 085006051

WATAN SANDY ABUAITA

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006051

License Status

NOT RENEWED

Business

N

First Name

WATAN

Middle

SANDY

Last Name

ABUAITA

Business Name

WATAN SANDY ABUAITA

Original Issue Date

10/14/2016

Effective Date

02/22/2020

Expiration Date

03/01/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022