LAURA A DEBELAK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000360

License Status

NOT RENEWED

Business

First Name

LAURA A

Last Name

DEBELAK

Business Name

LAURA A DEBELAK

Original Issue Date

11/11/1988

Effective Date

11/11/1988

Expiration Date

03/01/1996

City

HOFFMAN ESTATES

State

Zip

60195

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006