MARVIN DWIGHT MAXWELL MD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000217

License Status

NOT RENEWED

Business

First Name

MARVIN DWIGHT

Last Name

MAXWELL

Suffix

Business Name

MARVIN DWIGHT MAXWELL MD

Original Issue Date

05/26/1981

Effective Date

05/26/1981

Expiration Date

03/01/1992

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

11/27/2017