PAT C JAN - Physician Assistant License in Illinois | # 085000644

PAT C JAN

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000644

License Status

INACTIVE

Business

N

First Name

PAT

Middle

C

Last Name

JAN

Business Name

PAT C JAN

Original Issue Date

12/19/1994

Effective Date

12/19/1994

Expiration Date

03/01/2006

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006