ASSOYE T BELONY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****29

License Status

NOT RENEWED

Business

First Name

ASSOYE

Middle

Last Name

BELONY

Business Name

ASSOYE T BELONY

Original Issue Date

07/14/2005

Effective Date

07/14/2005

Expiration Date

03/01/2008

City

WEST CHICAGO

State

Zip

60185

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/26/2006