LIDIJA KOTOWSKY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001628

License Status

NOT RENEWED

Business

First Name

LIDIJA

Last Name

KOTOWSKY

Business Name

LIDIJA KOTOWSKY

Original Issue Date

08/27/2001

Effective Date

08/27/2001

Expiration Date

03/01/2004

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006