JESUS PEREA-OCHOA - Physician Assistant License in Illinois | # 085003142

JESUS PEREA-OCHOA

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003142

License Status

NOT RENEWED

Business

N

First Name

JESUS

Last Name

PEREA-OCHOA

Business Name

JESUS PEREA-OCHOA

Original Issue Date

11/05/2007

Effective Date

02/11/2010

Expiration Date

03/01/2012

State

IL

Ever Disciplined

N

LastModifiedDate

04/11/2012