KETURA ISIDOR - Physician Assistant License in Illinois | # 085006172

KETURA ISIDOR

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006172

License Status

NOT RENEWED

Business

N

First Name

KETURA

Last Name

ISIDOR

Business Name

KETURA ISIDOR

Original Issue Date

04/06/2017

Effective Date

02/11/2022

Expiration Date

03/01/2024

State

IL

Ever Disciplined

N

LastModifiedDate

02/05/2025