GARY J FISK - Physician Assistant License in Illinois | # 085000405

GARY J FISK

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000405

License Status

INACTIVE

Business

N

First Name

GARY

Middle

J

Last Name

FISK

Business Name

GARY J FISK

Original Issue Date

05/12/1990

Effective Date

02/24/2014

Expiration Date

03/01/2016

State

IL

Ever Disciplined

N

LastModifiedDate

03/29/2016