Lara Maria Davis
ExpiredIllinois license 085001875
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 085001875
- Status
- Expired (Not Renewed)
- First issued
- September 24, 2002
- Expired
- March 1, 2010
- License holder
- Lara Maria Davis
- Entity type
- Individual
Classifications
- Licensed Physician Assistant Physicians & Surgeons
More from the license record
- Current term began
- 12/14/2007
Contact
Springfield, IL 62707
Sangamon County