MARY L PINE - Physician Assistant License in Illinois | # 085001068

MARY L PINE

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001068

License Status

NOT RENEWED

Business

N

First Name

MARY

Middle

L

Last Name

PINE

Business Name

MARY L PINE

Original Issue Date

07/20/1998

Effective Date

07/20/1998

Expiration Date

03/01/2004

State

IL

Ever Disciplined

N

LastModifiedDate

03/18/2026