JAVIER ANTONIO PEREZ Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004175

License Status

NOT RENEWED

Business

First Name

JAVIER

Middle

ANTONIO

Last Name

PEREZ

Business Name

JAVIER ANTONIO PEREZ

Original Issue Date

09/30/2011

Effective Date

12/28/2011

Expiration Date

03/01/2014

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2014