Stephen Matthew Macioch
ExpiredIllinois license 085006707
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 085006707
- Status
- Expired (Not Renewed)
- First issued
- August 15, 2018
- Expired
- March 1, 2022
- License holder
- Stephen Matthew Macioch
- Entity type
- Individual
Classifications
- Licensed Physician Assistant Physicians & Surgeons
More from the license record
- Current term began
- 12/24/2019
Contact
Astoria, NY 11103
New York County