MYLES STANDISH - Physician Assistant License in Illinois | # 085000256

MYLES STANDISH

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000256

License Status

NOT RENEWED

Business

N

First Name

MYLES

Last Name

STANDISH

Business Name

MYLES STANDISH

Original Issue Date

08/31/1983

Effective Date

08/31/1983

Expiration Date

08/31/1985

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2006