ANTONIO T BABASA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000129

License Status

NOT RENEWED

Business

First Name

ANTONIO T

Last Name

BABASA

Business Name

ANTONIO T BABASA

Original Issue Date

04/14/1977

Effective Date

04/14/1977

Expiration Date

04/14/1979

City

WESTCHESTER

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006