CHAD ALAN QUIST PA-C Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001310

License Status

NOT RENEWED

Business

First Name

CHAD

Middle

ALAN

Last Name

QUIST

Suffix

PA-C

Business Name

CHAD ALAN QUIST PA-C

Original Issue Date

12/27/1999

Effective Date

12/27/1999

Expiration Date

03/01/2004

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/09/2006