ISABELLA KHAVASH PA-C Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001960

License Status

NOT RENEWED

Business

First Name

ISABELLA

Last Name

KHAVASH

Suffix

PA-C

Business Name

ISABELLA KHAVASH PA-C

Original Issue Date

12/26/2002

Effective Date

12/26/2002

Expiration Date

03/01/2004

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006