MARY JO PITKO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000920

License Status

NOT RENEWED

Business

First Name

MARY JO

Last Name

PITKO

Business Name

MARY JO PITKO

Original Issue Date

07/08/1997

Effective Date

07/08/1997

Expiration Date

03/01/2000

City

RR KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

09/26/2006