DAVID P AGBUNAG Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002886

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

AGBUNAG

Business Name

DAVID P AGBUNAG

Original Issue Date

11/06/2006

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2010