DAHLIA C MASKIN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****55

License Status

NOT RENEWED

Business

First Name

DAHLIA

Middle

Last Name

MASKIN

Business Name

DAHLIA C MASKIN

Original Issue Date

02/07/2005

Effective Date

02/07/2005

Expiration Date

03/01/2006

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006