HAROLD MICHAEL HIDALGO - Physician Assistant License in Illinois | # 085001324

HAROLD MICHAEL HIDALGO

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001324

License Status

NOT RENEWED

Business

N

First Name

HAROLD

Middle

MICHAEL

Last Name

HIDALGO

Business Name

HAROLD MICHAEL HIDALGO

Original Issue Date

12/30/1999

Effective Date

03/07/2012

Expiration Date

03/01/2014

State

IL

Ever Disciplined

N

LastModifiedDate

04/08/2014