RICHARD LEE SHOMO - Physician Assistant License in Illinois | # 085003279

RICHARD LEE SHOMO

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003279

License Status

NOT RENEWED

Business

N

First Name

RICHARD

Middle

LEE

Last Name

SHOMO

Business Name

RICHARD LEE SHOMO

Original Issue Date

08/14/2008

Effective Date

08/14/2008

Expiration Date

03/01/2010

State

IL

Ever Disciplined

N

LastModifiedDate

04/01/2010