AMY M GOETZ - Physician Assistant License in Illinois | # 085002812

AMY M GOETZ

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002812

License Status

NOT RENEWED

Business

N

First Name

AMY

Middle

M

Last Name

GOETZ

Business Name

AMY M GOETZ

Original Issue Date

09/08/2006

Effective Date

01/23/2014

Expiration Date

03/01/2016

State

IL

Ever Disciplined

N

LastModifiedDate

04/25/2016