THOMAS R PRIESKORN - Physician Assistant License in Illinois | # 085000942

THOMAS R PRIESKORN

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000942

License Status

INACTIVE

Business

N

First Name

THOMAS R

Last Name

PRIESKORN

Business Name

THOMAS R PRIESKORN

Original Issue Date

09/05/1997

Effective Date

09/05/1997

Expiration Date

03/01/2000

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2006