KEITH BRYAN GUESS - Physician Assistant License in Illinois | # 085001376

KEITH BRYAN GUESS

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001376

License Status

INACTIVE

Business

N

First Name

KEITH

Middle

BRYAN

Last Name

GUESS

Business Name

KEITH BRYAN GUESS

Original Issue Date

04/17/2000

Effective Date

02/11/2010

Expiration Date

03/01/2012

State

IL

Ever Disciplined

N

LastModifiedDate

12/07/2011