JOANN G MONTECALVO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000269

License Status

NOT RENEWED

Business

First Name

JOANN G

Last Name

MONTECALVO

Business Name

JOANN G MONTECALVO

Original Issue Date

04/12/1984

Effective Date

04/12/1984

Expiration Date

03/01/1992

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

09/26/2006