JASON D FABIANSKI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000930

License Status

NOT RENEWED

Business

First Name

JASON D

Last Name

FABIANSKI

Business Name

JASON D FABIANSKI

Original Issue Date

07/31/1997

Effective Date

07/31/1997

Expiration Date

03/01/2000

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006