ELENI MARIA MORAITES MD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002893

License Status

NOT RENEWED

Business

Title

First Name

ELENI

Middle

MARIA

Last Name

MORAITES

Business Name

ELENI MARIA MORAITES MD

Original Issue Date

11/20/2006

Effective Date

12/09/2009

Expiration Date

03/01/2012

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

04/11/2012