ROSA L HART - Physician Assistant License in Illinois | # 085000035

ROSA L HART

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000035

License Status

NOT RENEWED

Business

N

First Name

ROSA L

Last Name

HART

Business Name

ROSA L HART

Original Issue Date

11/05/1980

Effective Date

11/05/1980

Expiration Date

11/05/1984

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2006