ASSOYE T BELONY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002357

License Status

NOT RENEWED

Business

First Name

ASSOYE

Middle

Last Name

BELONY

Business Name

ASSOYE T BELONY

Original Issue Date

09/29/2004

Effective Date

09/29/2004

Expiration Date

03/01/2008

City

WEST CHICAGO

State

Zip

60185

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/23/2008