MARISELA DEITCHER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001307

License Status

NOT RENEWED

Business

First Name

MARISELA

Last Name

DEITCHER

Business Name

MARISELA DEITCHER

Original Issue Date

12/27/1999

Effective Date

12/27/1999

Expiration Date

03/01/2004

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006