DIANE CAROL MCAVOY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009493

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

CAROL

Last Name

MCAVOY

Business Name

DIANE CAROL MCAVOY

Original Issue Date

01/18/2023

Effective Date

01/18/2023

Expiration Date

03/01/2024

City

ITASCA

State

Zip

60143

County

DUPAGE

Ever Disciplined

LastModifiedDate

02/05/2025