MICHAEL V CRISTOFANO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000640

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

CRISTOFANO

Business Name

MICHAEL V CRISTOFANO

Original Issue Date

12/19/1994

Effective Date

03/03/2020

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022