CAMERON TROY JACKSON STENGEL - Physician Assistant License in Illinois | # 085007271

CAMERON TROY JACKSON STENGEL

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007271

License Status

NOT RENEWED

Business

N

First Name

CAMERON

Middle

TROY JACKSON

Last Name

STENGEL

Business Name

CAMERON TROY JACKSON STENGEL

Original Issue Date

09/14/2019

Effective Date

12/27/2019

Expiration Date

03/01/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022