JOANNE SIM BAVELIS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****94

License Status

NOT RENEWED

Business

First Name

JOANNE

Middle

SIM

Last Name

BAVELIS

Business Name

JOANNE SIM BAVELIS

Original Issue Date

02/06/2006

Effective Date

02/25/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018