GERALDINE SHANGREAU - Physician Assistant License in Illinois | # 085000432

GERALDINE SHANGREAU

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000432

License Status

NOT RENEWED

Business

N

First Name

GERALDINE

Last Name

SHANGREAU

Business Name

GERALDINE SHANGREAU

Original Issue Date

12/08/1990

Effective Date

12/08/1990

Expiration Date

03/01/1994

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2006