CATHERINE GRACE ENGIBOUS - Physician Assistant License in Illinois | # 085003743

CATHERINE GRACE ENGIBOUS

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003743

License Status

NOT RENEWED

Business

N

First Name

CATHERINE

Middle

GRACE

Last Name

ENGIBOUS

Business Name

CATHERINE GRACE ENGIBOUS

Original Issue Date

06/09/2010

Effective Date

06/09/2010

Expiration Date

03/01/2012

State

IL

Ever Disciplined

N

LastModifiedDate

04/11/2012