JODY LAND PA-C - Physician Assistant License in Illinois | # 085000657

JODY LAND PA-C

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000657

License Status

NOT RENEWED

Business

N

First Name

JODY

Last Name

LAND

Suffix

PA-C

Business Name

JODY LAND PA-C

Original Issue Date

12/19/1994

Effective Date

12/19/1994

Expiration Date

03/01/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006