MARILYN J STOMBAUGH - Physician Assistant License in Illinois | # 085000783

MARILYN J STOMBAUGH

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000783

License Status

INACTIVE

Business

N

First Name

MARILYN

Middle

J

Last Name

STOMBAUGH

Business Name

MARILYN J STOMBAUGH

Original Issue Date

02/17/1996

Effective Date

01/14/2020

Expiration Date

03/01/2022

State

IL

Ever Disciplined

N

LastModifiedDate

01/06/2022