WILLIAM B CIVILETTA-KALICH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003749

License Status

NOT RENEWED

Business

First Name

WILLIAM

Middle

Last Name

CIVILETTA-KALICH

Business Name

WILLIAM B CIVILETTA-KALICH

Original Issue Date

06/15/2010

Effective Date

01/25/2022

Expiration Date

03/01/2024

City

ZION

State

Zip

60099

County

LAKE

Ever Disciplined

LastModifiedDate

02/05/2025