CONRAD CALVIN LO - Physician Assistant License in Illinois | # 085002461

CONRAD CALVIN LO

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002461

License Status

INACTIVE

Business

N

First Name

CONRAD

Middle

CALVIN

Last Name

LO

Business Name

CONRAD CALVIN LO

Original Issue Date

02/17/2005

Effective Date

02/25/2016

Expiration Date

03/01/2018

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2018