George X De La Vega PA-C
ExpiredIllinois license 085000794
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 085000794
- Status
- Expired (Not Renewed)
- First issued
- March 30, 1996
- Expired
- March 1, 1998
- License holder
- George X De La Vega PA-C
- Entity type
- Individual
Classifications
- Licensed Physician Assistant Physicians & Surgeons
More from the license record
- Current term began
- 03/30/1996
Contact
Chicago, IL 60639
Cook County