ILAN BREIT Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005517

License Status

NOT RENEWED

Business

First Name

ILAN

Last Name

BREIT

Business Name

ILAN BREIT

Original Issue Date

06/30/2015

Effective Date

06/30/2015

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2016