JERALD THOMAS LOY PA-C Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001051

License Status

NOT RENEWED

Business

First Name

JERALD

Middle

THOMAS

Last Name

LOY

Suffix

PA-C

Business Name

JERALD THOMAS LOY PA-C

Original Issue Date

05/04/1998

Effective Date

05/04/1998

Expiration Date

03/01/2004

City

SAVOY

State

Zip

61874

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/09/2006