BARBARA ANNE SERVISS - Physician Assistant License in Illinois | # 085001231

BARBARA ANNE SERVISS

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001231

License Status

NOT RENEWED

Business

N

First Name

BARBARA

Middle

ANNE

Last Name

SERVISS

Business Name

BARBARA ANNE SERVISS

Original Issue Date

08/16/1999

Effective Date

12/14/2007

Expiration Date

03/01/2010

State

IL

Ever Disciplined

N

LastModifiedDate

04/01/2010