WILLIAM D KLITZKIE PA-C Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000320

License Status

INACTIVE

Business

First Name

WILLIAM D

Last Name

KLITZKIE PA-C

Business Name

WILLIAM D KLITZKIE PA-C

Original Issue Date

01/17/1987

Effective Date

01/17/1987

Expiration Date

03/01/1998

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

09/26/2006