DMITRIY REZNIK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002843

License Status

NOT RENEWED

Business

First Name

DMITRIY

Last Name

REZNIK

Business Name

DMITRIY REZNIK

Original Issue Date

10/12/2006

Effective Date

03/13/2014

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2023