Marisa Eve Girawong
ExpiredIllinois license 085004460
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 085004460
- Status
- Expired (Not Renewed)
- First issued
- September 19, 2012
- Expired
- March 1, 2014
- License holder
- Marisa Eve Girawong
- Entity type
- Individual
Classifications
- Licensed Physician Assistant Physicians & Surgeons
More from the license record
- Current term began
- 09/19/2012
Contact
Edison, NJ 08820
New Jersey County