ANGELA JEAN BLAGOJEVSKI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****90

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

JEAN

Last Name

BLAGOJEVSKI

Business Name

ANGELA JEAN BLAGOJEVSKI

Original Issue Date

03/24/2011

Effective Date

01/13/2014

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

10/26/2016