DIANA E PEREZ - Physician Assistant License in Illinois | # 085004231

DIANA E PEREZ

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004231

License Status

NOT RENEWED

Business

N

First Name

DIANA

Middle

E

Last Name

PEREZ

Business Name

DIANA E PEREZ

Original Issue Date

10/27/2011

Effective Date

03/13/2018

Expiration Date

03/01/2020

State

IL

Ever Disciplined

N

LastModifiedDate

11/24/2020