ELIZABETH MARIE DIBELLA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004984

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

MARIE

Last Name

DIBELLA

Business Name

ELIZABETH MARIE DIBELLA

Original Issue Date

01/30/2014

Effective Date

01/30/2014

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

10/26/2016