CAMILLE C DINICOLA PA-C Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000431

License Status

NOT RENEWED

Business

First Name

CAMILLE

Middle

Last Name

DINICOLA

Suffix

PA-C

Business Name

CAMILLE C DINICOLA PA-C

Original Issue Date

12/08/1990

Effective Date

12/08/1990

Expiration Date

03/01/2002

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006