NIDAL ALKAFARNA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005577

License Status

NOT RENEWED

Business

First Name

NIDAL

Last Name

ALKAFARNA

Business Name

NIDAL ALKAFARNA

Original Issue Date

07/28/2015

Effective Date

02/03/2016

Expiration Date

03/01/2018

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/10/2018