JASON M LICHT - Physician Assistant License in Illinois | # 085002065

JASON M LICHT

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002065

License Status

INACTIVE

Business

N

First Name

JASON

Middle

M

Last Name

LICHT

Business Name

JASON M LICHT

Original Issue Date

08/26/2003

Effective Date

08/26/2003

Expiration Date

03/01/2006

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006