BRIAN R KODISH - Physician Assistant License in Illinois | # 085003702

BRIAN R KODISH

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003702

License Status

NOT RENEWED

Business

N

First Name

BRIAN

Middle

R

Last Name

KODISH

Business Name

BRIAN R KODISH

Original Issue Date

02/18/2010

Effective Date

01/21/2016

Expiration Date

03/01/2018

State

IL

Ever Disciplined

N

LastModifiedDate

05/10/2018