MELANIE A SHALES - Physician Assistant License in Illinois | # 085003511

MELANIE A SHALES

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003511

License Status

NOT RENEWED

Business

N

First Name

MELANIE

Middle

A

Last Name

SHALES

Business Name

MELANIE A SHALES

Original Issue Date

07/16/2009

Effective Date

01/22/2010

Expiration Date

03/01/2012

State

IL

Ever Disciplined

N

LastModifiedDate

04/11/2012