SIOELI FIATAU FUIMAONO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001416

License Status

NOT RENEWED

Business

First Name

SIOELI

Middle

FIATAU

Last Name

FUIMAONO

Business Name

SIOELI FIATAU FUIMAONO

Original Issue Date

07/18/2000

Effective Date

07/18/2000

Expiration Date

03/01/2006

City

NILES

State

Zip

60714

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006