MATTHEW PATRICK TODD - Physician Assistant License in Illinois | # 085002327

MATTHEW PATRICK TODD

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002327

License Status

NOT RENEWED

Business

N

First Name

MATTHEW

Middle

PATRICK

Last Name

TODD

Business Name

MATTHEW PATRICK TODD

Original Issue Date

09/10/2004

Effective Date

09/10/2004

Expiration Date

03/01/2006

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006