DIANA WALLER SUCHOFF - Physician Assistant License in Illinois | # 085000223

DIANA WALLER SUCHOFF

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000223

License Status

NOT RENEWED

Business

N

First Name

DIANA WALLER

Last Name

SUCHOFF

Business Name

DIANA WALLER SUCHOFF

Original Issue Date

11/02/1981

Effective Date

11/02/1981

Expiration Date

03/01/1992

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2006