JAVIER ANTONIO PEREZ - Physician Assistant License in Illinois | # 085004175

JAVIER ANTONIO PEREZ

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004175

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

04/08/2014