DIANE CAROL MCAVOY - Physician Assistant License in Illinois | # 085009493

DIANE CAROL MCAVOY

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009493

License Status

NOT RENEWED

Business

N

First Name

DIANE

Middle

CAROL

Last Name

MCAVOY

Business Name

DIANE CAROL MCAVOY

Original Issue Date

01/18/2023

Effective Date

01/18/2023

Expiration Date

03/01/2024

State

IL

Ever Disciplined

N

LastModifiedDate

02/05/2025