SUJITHRA REPRAKASH - Physician Assistant License in Illinois | # 085006949

SUJITHRA REPRAKASH

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006949

License Status

NOT RENEWED

Business

N

First Name

SUJITHRA

Last Name

REPRAKASH

Business Name

SUJITHRA REPRAKASH

Original Issue Date

02/19/2019

Effective Date

02/13/2020

Expiration Date

03/01/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022