MORTON G KRAKOW - Physician Assistant License in Illinois | # 085000587

MORTON G KRAKOW

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000587

License Status

NOT RENEWED

Business

N

First Name

MORTON

Middle

G

Last Name

KRAKOW

Business Name

MORTON G KRAKOW

Original Issue Date

02/01/1994

Effective Date

01/14/2010

Expiration Date

03/01/2012

State

IL

Ever Disciplined

N

LastModifiedDate

11/08/2012