JOHN ROBERT PIKE - Physician Assistant License in Illinois | # 085000069

JOHN ROBERT PIKE

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000069

License Status

NOT RENEWED

Business

N

First Name

JOHN ROBERT

Last Name

PIKE

Business Name

JOHN ROBERT PIKE

Original Issue Date

11/09/1980

Effective Date

11/09/1980

Expiration Date

03/01/1986

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2006