JOHN L ANCONA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000886

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

Last Name

ANCONA

Business Name

JOHN L ANCONA

Original Issue Date

02/10/1997

Effective Date

02/09/2016

Expiration Date

03/01/2018

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018