CORINNE E ZLOCK - Physician Assistant License in Illinois | # 085002453

CORINNE E ZLOCK

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002453

License Status

NOT RENEWED

Business

N

First Name

CORINNE

Middle

E

Last Name

ZLOCK

Business Name

CORINNE E ZLOCK

Original Issue Date

01/24/2005

Effective Date

01/24/2005

Expiration Date

03/01/2008

State

IL

Ever Disciplined

N

LastModifiedDate

04/23/2008