ALEXANDER STANLEY PORUCZNIK - Physician Assistant License in Illinois | # 085007291

ALEXANDER STANLEY PORUCZNIK

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007291

License Status

NOT RENEWED

Business

N

First Name

ALEXANDER

Middle

STANLEY

Last Name

PORUCZNIK

Business Name

ALEXANDER STANLEY PORUCZNIK

Original Issue Date

09/19/2019

Effective Date

01/17/2022

Expiration Date

03/01/2024

State

IL

Ever Disciplined

N

LastModifiedDate

02/05/2025