DONALD THOMAS BEITZEL - Physician Assistant License in Illinois | # 085006091

DONALD THOMAS BEITZEL

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006091

License Status

NOT RENEWED

Business

N

First Name

DONALD

Middle

THOMAS

Last Name

BEITZEL

Business Name

DONALD THOMAS BEITZEL

Original Issue Date

12/15/2016

Effective Date

12/15/2016

Expiration Date

03/01/2018

State

IL

Ever Disciplined

N

LastModifiedDate

05/10/2018