ANDREW DOMINIC SCALA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000075

License Status

NOT RENEWED

Business

First Name

ANDREW DOMINIC

Last Name

SCALA

Business Name

ANDREW DOMINIC SCALA

Original Issue Date

11/05/1976

Effective Date

11/05/1976

Expiration Date

11/05/1978

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006