MEENA DAVE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000914

License Status

NOT RENEWED

Business

First Name

MEENA

Last Name

DAVE

Business Name

MEENA DAVE

Original Issue Date

05/09/1997

Effective Date

05/09/1997

Expiration Date

03/01/2000

City

SPRINGFIELD

State

Zip

62781

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/26/2006