JAMILA LYKA SALVADOR Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****67

License Status

INOPERATIVE

Business

First Name

JAMILA LYKA

Last Name

SALVADOR

Business Name

JAMILA LYKA SALVADOR

Original Issue Date

11/04/2019

Effective Date

01/16/2020

Expiration Date

03/01/2022

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

01/03/2022