SUE ELLEN VLASIS - Physician Assistant License in Illinois | # 085000168

SUE ELLEN VLASIS

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000168

License Status

NOT RENEWED

Business

N

First Name

SUE ELLEN

Last Name

VLASIS

Business Name

SUE ELLEN VLASIS

Original Issue Date

02/05/1981

Effective Date

02/05/1981

Expiration Date

03/01/1990

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2006