DALE ROBERT WALASZEK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001013

License Status

NOT RENEWED

Business

First Name

DALE ROBERT

Last Name

WALASZEK

Business Name

DALE ROBERT WALASZEK

Original Issue Date

01/21/1998

Effective Date

01/21/1998

Expiration Date

03/01/2000

City

WESTMONT

State

Zip

60559

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/26/2006