GUIA C VILLALUNA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001621

License Status

NOT RENEWED

Business

First Name

GUIA

Middle

Last Name

VILLALUNA

Business Name

GUIA C VILLALUNA

Original Issue Date

08/01/2001

Effective Date

03/01/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018