CONRAD CALVIN LO Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002461

License Status

INACTIVE

Business

First Name

CONRAD

Middle

CALVIN

Last Name

Business Name

CONRAD CALVIN LO

Original Issue Date

02/17/2005

Effective Date

02/25/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2018