MACIEJ G STANCZAK - Physician Assistant License in Illinois | # 085006431

MACIEJ G STANCZAK

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006431

License Status

NOT RENEWED

Business

N

First Name

MACIEJ

Middle

G

Last Name

STANCZAK

Business Name

MACIEJ G STANCZAK

Original Issue Date

10/30/2017

Effective Date

02/22/2018

Expiration Date

03/01/2020

State

IL

Ever Disciplined

N

LastModifiedDate

11/24/2020