DALE ROBERT WALASZEK - Physician Assistant License in Illinois | # 085001013

DALE ROBERT WALASZEK

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001013

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2006